ST-Segment Elevation Myocardial Infarction on the Line: Inadvertent Arterial Infusion of Vasopressors Causing Acute Myocardial Infarction.
Ebubechukwu EzehKyle SmithMaddie PerdoncinBrittany GilbertCarlos RuedaEva TackettPublished in: Journal of investigative medicine high impact case reports (2023)
Central venous catheters (CVCs), regarded as lines of life, are helpful in hemodynamic monitoring and delivering medications to patients. However, there are several complications that can result from the placement of CVCs. This includes accidental arterial puncture, which has a temporal association with hemorrhage, hematoma, and stroke. Infusion of vasopressors through such a mispositioned arterial CVC further increases the risk of these complications with potential end-organ ischemia. Here, we discuss the case of a 76-year-old woman who developed a myocardial infarction, heart failure, and subarachnoid hemorrhage following the arterial infusion of vasopressors through a malpositioned CVC.
Keyphrases
- subarachnoid hemorrhage
- st segment elevation myocardial infarction
- heart failure
- percutaneous coronary intervention
- acute myocardial infarction
- low dose
- brain injury
- left ventricular
- end stage renal disease
- cerebral ischemia
- atrial fibrillation
- ejection fraction
- newly diagnosed
- chronic kidney disease
- prognostic factors
- acute coronary syndrome
- risk assessment
- blood brain barrier
- climate change
- patient reported outcomes