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Your search keyword '"Kuck, K-H"' showing total 20 results
Start Over Author "Kuck, K-H" Publisher springer medizin
20 results on '"Kuck, K-H"'

19. [Cardiac arrest in a fitness trainer with apical hypertrophic cardiomyopathy associated with cor triatriatum sinister].

Author

Bahlmann E, van der Schalk H, Dreher A, Schmidt-Salzmann M, Kivelitz D, Starekova J, Ghanem A, and Kuck KH

Subjects
Athletes, Echocardiography, Humans, Middle Aged, Cardiomyopathy, Hypertrophic complications, Cor Triatriatum complications, Defibrillators, Implantable, Heart Arrest etiology, Heart Arrest therapy
Abstract

We report on a 49-year-old fitness trainer, who was admitted to our hospital after cardiac arrest due to ventricular fibrillation. Return of spontaneous circulation was achieved after immediate cardiopulmonary resuscitation. Coronary angiography could exclude coronary artery disease. Echocardiography demonstrated the presence of apical hypertrophic cardiomyopathy, associated with cor triatriatum sinister. Cardiac magnetic resonance imaging additionally showed marked myocardial fibrosis. The patient underwent placement of an implantable cardioverter-defibrillator and was subsequently discharged for rehabilitation in good condition.

Published
2018
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20. [Paraquat poisoning. Case report and overview].

Author

Spangenberg T, Grahn H, van der Schalk H, and Kuck KH

Subjects
Acetylcysteine administration & dosage, Acute Kidney Injury chemically induced, Acute Kidney Injury therapy, Acute Lung Injury, Adult, Antioxidants administration & dosage, Ascorbic Acid administration & dosage, Combined Modality Therapy methods, Conscious Sedation, Cooperative Behavior, Dose-Response Relationship, Drug, Emergency Medical Services methods, Esophagoscopy, Esophagus drug effects, Gastric Mucosa drug effects, Hemofiltration, Herbicides pharmacokinetics, Humans, Interdisciplinary Communication, Intermittent Positive-Pressure Ventilation, Intestinal Mucosa drug effects, Male, Metabolic Clearance Rate physiology, Oxygen Inhalation Therapy, Paraquat pharmacokinetics, Prognosis, Pulmonary Edema prevention & control, Critical Care methods, Herbicides poisoning, Paraquat poisoning, Suicide, Attempted prevention & control
Abstract

Paraquat poisoning in Germany is rare. Because plasma levels do not necessarily match the ingested amount of paraquat, repeated measurement of plasma levels is imperative. There is a large potential in the prehospital phase to improve prognosis: further resorption must be terminated by rigorous charcoal administration and early tracheal intubation if necessary. Because paraquat can be resorbed by dermal contact, steps to ensure sufficient protection of emergency medical personnel must be taken.As soon as further resorption has been prevented sufficiently, forced diuresis, renal replacement therapy, and hemoperfusion can be of help, but still remain controversial. To reduce pulmonary fibrosis, inspiratory oxygen concentrations must be adjusted to the minimal amount needed to ensure satisfactory tissue oxygenation. Data supporting the advantageous use of cyclophosphamide combined with methylprednisolone for the treatment of pulmonary fibrosis were recently published. Since the toxic mechanism implies a mismatch of oxidants and anti-oxidants, co-administration of ascorbic acid and N-acetylcysteine are simple treatments with few side effects.

Published
2012
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