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Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

[Is it worth delivering Direct-Current Counter shock to critically ill patients with supra-ventricular

S Champion¹, B A Gaüzère², D Vandroux²

¹Service de réanimation polyvalente, hôpital Félix-Guyon, CHU de la Réunion, allée des Topazes, CS 11021, 97400 Saint-Denis, Réunion; Réanimation, clinique de Parly 2, Ramsay générale de santé, 21, rue Moxouris, 78150 Le Chesnay, France.

Annales De Cardiologie Et D'Angeiologie

|June 28, 2018

Abstract:

Supra-ventricular tachyarrhythmia and its treatment have been poorly investigated in ICU patients.

Aims:

To evaluate efficacy and safety of cardioversion for supra-ventricular tachyarrhythmia in the intensive care unit (ICU).

Patients And Methods:

Prospective inclusion of all patients who presented supra-ventricular tachyarrhythmias lasting≥30seconds in a single medico-surgical ICU, except cardiac surgery. Anti-arrhythmic drugs and/or direct-current cardioversion were administered on a liberal basis.

Results:

During the 15-month study period, 108/846 patients (12.8%) experienced supra-ventricular tachyarrhythmias. Anti-arrhythmic drugs were administered in 78 patients (72%); mostly amiodarone (92%), and/or magnesium (23%), resulting in an overall conversion rate of 68%. Direct-current cardioversion was used in 26 patients (24%), (24 patients received drug enhancement by anti-arrhythmic drugs) with an immediate 80.8%-success rate.

Conclusion:

Direct-current cardioversion was associated with sustained conversion to sinus rhythm in 80.8% of ICU patients with supra-ventricular tachyarrhythmias, although most of them had already received drug enhancement.

Keywords:

Arythmie supra-ventriculaire Atrial fibrillation Cardioversion Choc électrique Direct current Fibrillation auriculaire Intensive care unit Réanimation Soins intensifs Supra-ventricular arrhythmia Tachycardie

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