Amiodarone triggered Kounis syndrome complicated by refractory cardiac arrest rescued with VA-ECMO.
Marc SorianoAlessandro SionisEnrique RodríguezAna BonetLorena Soto RetesManel TauronDavid BelmarSabiñe ArakamaJosep MayolLaura RodríguezPublished in: Clinical case reports (2024)
A patient with atrial fibrillation was admitted for an elective electrical cardioversion. He was given an amiodarone bolus that triggered Kounis syndrome with cardiac arrest due to vasospasm requiring emergency coronary angiography with infusion of nitroglycerin. Due to following refractory shock and severe refractory hypoxemia required mechanical circulatory support with ECMO and inhaled nitric oxide with favorable evolution. Allergy to amiodarone was later confirmed.
Keyphrases
- cardiac arrest
- extracorporeal membrane oxygenation
- atrial fibrillation
- cardiopulmonary resuscitation
- nitric oxide
- case report
- acute respiratory distress syndrome
- public health
- respiratory failure
- healthcare
- subarachnoid hemorrhage
- patients undergoing
- heart failure
- oral anticoagulants
- early onset
- hydrogen peroxide
- left atrial appendage
- nitric oxide synthase
- left atrial
- catheter ablation
- direct oral anticoagulants
- intensive care unit
- blood brain barrier
- drug induced