1. Extracorporeal membrane oxygenation for cardiogenic shock due to alcoholic cardiomyopathy: a long-term follow-up of 4 cases
- Author
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Dorothée Valance, Jérôme Allyn, Caroline Brulliard, Berenice Puech, Eric Braunberger, Nicolas Allou, Bruno Bouchet, and Benjamin Delmas
- Subjects
Adult ,Male ,Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Long term follow up ,medicine.medical_treatment ,Shock, Cardiogenic ,030204 cardiovascular system & hematology ,Alcoholic cardiomyopathy ,Young Adult ,03 medical and health sciences ,Extracorporeal Membrane Oxygenation ,0302 clinical medicine ,Refractory ,Internal medicine ,medicine ,Extracorporeal membrane oxygenation ,Humans ,Heart transplantation ,business.industry ,Cardiomyopathy, Alcoholic ,Cardiogenic shock ,Dilated cardiomyopathy ,Middle Aged ,medicine.disease ,030228 respiratory system ,Echocardiography ,Heart failure ,Cardiology ,Surgery ,Cardiology and Cardiovascular Medicine ,business ,Follow-Up Studies - Abstract
Even though alcoholism is a major health concern, alcoholic cardiomyopathy is a little-known pathology. The exact prevalence remains elusive (20-40% of dilated cardiomyopathy). However, it can lead to dilated cardiomyopathy, heart failure and refractory cardiogenic shock. The literature on cardiogenic shock in alcoholic cardiomyopathy is limited. We report 4 cases of patients with refractory cardiogenic shock due to heavy alcohol consumption, who were treated with venoarterial extracorporeal membrane oxygenation. The evolution was favourable with recovery in 3 patients and the need for heart transplantation in 1 patient. After 3-5 years, all patients are alive, 2 of 4 are sober, all of them are on cardiac follow-up and none of them have presented with a cardiac relapse.
- Published
- 2017
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