Successful treatment of sepsis-induced cardiomyopathy with 36 hours refractory ventricular fibrillation: A case report
Songtao Liu,
Zhixin Wu,
Yi Su,
Fucheng Qiu
Affiliations
Songtao Liu
The Eighth Clinical Medical College, Guangzhou University of Chinese Medicine, China
Zhixin Wu
The Eighth Clinical Medical College, Guangzhou University of Chinese Medicine, China; Department of Neurological Intensive Care Unit, Foshan Hospital of Traditional Chinese Medicine, China
Yi Su
The Eighth Clinical Medical College, Guangzhou University of Chinese Medicine, China; Department of Neurological Intensive Care Unit, Foshan Hospital of Traditional Chinese Medicine, China; Corresponding author. Department of Neurological Intensive Care Unit, Foshan Hospital of Traditional Chinese Medicine, The Eighth Clinical College of Guangzhou University of Chinese Medicine, NO. 6 Qinren Road, Chancheng District, Foshan 528000, China.
Fucheng Qiu
The Eighth Clinical Medical College, Guangzhou University of Chinese Medicine, China; Department of Neurological Intensive Care Unit, Foshan Hospital of Traditional Chinese Medicine, China
Sepsis-induced cardiomyopathy (SIC) is generally characterized by decreased cardiac ejection fraction (EF) reversibility, less cardiac response to fluid resuscitation and catecholamine, and rarely complicated with refractory ventricular fibrillation (RVF). Once RVF is induced, the mortality rate of sepsis patients will be greatly increased. In this case, we reported a 26-year-old female patient who was diagnosed sepsis-induced cardiomyopathy (SIC), presented with RVF for 36 hours. The patient was maintained by the mechanical circulatory support (MCS) devices and experienced twice defibrillation. Finally, the patient was discharged without intracardial thrombosis and severe craniocerebral complications. This case suggested that early application of MCS and appropriate frequency of defibrillation may help the prognosis of SIC with RVF.
