Shoshin Beriberi With Low Cardiac Output and Hemodynamic Deterioration Treated Dramatically by Thiamine Administration
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- Imamura Teruhiko
- Department of Therapeutic Strategy for Heart Failure, Graduate School of Medicine, The University of Tokyo
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- Kinugawa Koichiro
- Department of Therapeutic Strategy for Heart Failure, Graduate School of Medicine, The University of Tokyo
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抄録
“Shoshin beriberi”, which is a fulminant form of cardiovascular beriberi accompanied by hemodynamic deterioration with high cardiac output and decreased systemic blood pressure, caused by thiamine deficiency due to alcoholic abuse or malnutrition, is often difficult to address because of its rarity and non-specific symptoms. We here present a patient with a history of alcoholic abuse who had suffered hemodynamic deterioration with extremely low cardiac output refractory to extracorporeal membrane oxygenation and intravenous catecholamine support, which was improved dramatically by bolus intravenous thiamine administration. Such a type with low cardiac output would be the most severe form of Shoshin beriberi, and cannot be rescued without diagnostic administration of thiamine.
収録刊行物
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- International Heart Journal
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International Heart Journal 56 (5), 568-570, 2015
一般社団法人 インターナショナル・ハート・ジャーナル刊行会