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
- emergency department
- public health
- respiratory failure
- heart failure
- patients undergoing
- healthcare
- cystic fibrosis
- early onset
- left atrial
- oral anticoagulants
- catheter ablation
- intensive care unit
- acute coronary syndrome
- brain injury
- blood brain barrier
- left ventricular
- cerebral ischemia