The use of extracorporeal membrane oxygenation in children with acute fulminant myocarditis
Acute fulminant myocarditis (AFM) occurs as an inflammatory response to an initial myocardial insult. Its rapid and deadly progression calls for prompt diagnosis with aggressive treatment measures. The demonstration of its excellent recovery potential has led to increasing use of mechanical circulat...
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The Korean Pediatric Society
2021-05-01
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doaj-4f0a315feed4415eb1bf535c25a517152021-05-04T06:14:44ZengThe Korean Pediatric SocietyClinical and Experimental Pediatrics2713-41482021-05-0164518819510.3345/cep.2020.0083620125555353The use of extracorporeal membrane oxygenation in children with acute fulminant myocarditisSilver Heinsar0Sainath Raman1Jacky Y. Suen2Hwa Jin Cho3John F. Fraser4 Critical Care Research Group, Faculty of Medicine, University of Queensland and The Prince Charles Hospital, Brisbane, Australia Critical Care Research Group, Faculty of Medicine, University of Queensland and The Prince Charles Hospital, Brisbane, Australia Critical Care Research Group, Faculty of Medicine, University of Queensland and The Prince Charles Hospital, Brisbane, Australia Critical Care Research Group, Faculty of Medicine, University of Queensland and The Prince Charles Hospital, Brisbane, Australia Critical Care Research Group, Faculty of Medicine, University of Queensland and The Prince Charles Hospital, Brisbane, AustraliaAcute fulminant myocarditis (AFM) occurs as an inflammatory response to an initial myocardial insult. Its rapid and deadly progression calls for prompt diagnosis with aggressive treatment measures. The demonstration of its excellent recovery potential has led to increasing use of mechanical circulatory support, especially extracorporeal membrane oxygenation (ECMO). Arrhythmias, organ failure, elevated cardiac biomarkers, and decreased ventricular function at presentation predict requirement for ECMO. In these patients, ECMO should be considered earlier as the clinical course of AFM can be unpredictable and can lead to rapid haemodynamic collapse. Key uncertainties that clinicians face when managing children with AFM such as timing of initiation of ECMO and left ventricular decompression need further investigation.http://www.e-cep.org/upload/pdf/cep-2020-00836.pdfmyocarditisextracorporeal membrane oxygenationcritical carechild |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Silver Heinsar Sainath Raman Jacky Y. Suen Hwa Jin Cho John F. Fraser |
spellingShingle |
Silver Heinsar Sainath Raman Jacky Y. Suen Hwa Jin Cho John F. Fraser The use of extracorporeal membrane oxygenation in children with acute fulminant myocarditis Clinical and Experimental Pediatrics myocarditis extracorporeal membrane oxygenation critical care child |
author_facet |
Silver Heinsar Sainath Raman Jacky Y. Suen Hwa Jin Cho John F. Fraser |
author_sort |
Silver Heinsar |
title |
The use of extracorporeal membrane oxygenation in children with acute fulminant myocarditis |
title_short |
The use of extracorporeal membrane oxygenation in children with acute fulminant myocarditis |
title_full |
The use of extracorporeal membrane oxygenation in children with acute fulminant myocarditis |
title_fullStr |
The use of extracorporeal membrane oxygenation in children with acute fulminant myocarditis |
title_full_unstemmed |
The use of extracorporeal membrane oxygenation in children with acute fulminant myocarditis |
title_sort |
use of extracorporeal membrane oxygenation in children with acute fulminant myocarditis |
publisher |
The Korean Pediatric Society |
series |
Clinical and Experimental Pediatrics |
issn |
2713-4148 |
publishDate |
2021-05-01 |
description |
Acute fulminant myocarditis (AFM) occurs as an inflammatory response to an initial myocardial insult. Its rapid and deadly progression calls for prompt diagnosis with aggressive treatment measures. The demonstration of its excellent recovery potential has led to increasing use of mechanical circulatory support, especially extracorporeal membrane oxygenation (ECMO). Arrhythmias, organ failure, elevated cardiac biomarkers, and decreased ventricular function at presentation predict requirement for ECMO. In these patients, ECMO should be considered earlier as the clinical course of AFM can be unpredictable and can lead to rapid haemodynamic collapse. Key uncertainties that clinicians face when managing children with AFM such as timing of initiation of ECMO and left ventricular decompression need further investigation. |
topic |
myocarditis extracorporeal membrane oxygenation critical care child |
url |
http://www.e-cep.org/upload/pdf/cep-2020-00836.pdf |
work_keys_str_mv |
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