The Early Dynamic Change in Cardiac Enzymes and Renal Function Is Associated with Mortality in Patients with Fulminant Myocarditis on Extracorporeal Membrane Oxygenation: Analysis of a Single Center’s Experience

(1) Background: Fulminant myocarditis (FM) could result in hemodynamic derangement and fatal arrhythmia. Veno-arterial extracorporeal membrane oxygenation (V-A ECMO) is used to maintain organ perfusion in FM patients complicating cardiogenic shock. The present study aims to assess the static and dyn...
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Gespeichert in:

Autor*in:	Ching-Lin Ho [verfasserIn] Teressa Reanne Ju [verfasserIn] Chi Chan Lee [verfasserIn] Hsin-Ti Lin [verfasserIn] Alexander-Lee Wang [verfasserIn] Robert Jeenchen Chen [verfasserIn] You-Cian Lin [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	fulminant myocarditis extracorporeal membrane oxygenation (ECMO) cardiac enzymes renal function

Übergeordnetes Werk:	In: Healthcare - MDPI AG, 2013, 10(2022), 6, p 1063
Übergeordnetes Werk:	volume:10 ; year:2022 ; number:6, p 1063

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3390/healthcare10061063

Katalog-ID:	DOAJ028424069

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245	1	4	\|a The Early Dynamic Change in Cardiac Enzymes and Renal Function Is Associated with Mortality in Patients with Fulminant Myocarditis on Extracorporeal Membrane Oxygenation: Analysis of a Single Center’s Experience
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520			\|a (1) Background: Fulminant myocarditis (FM) could result in hemodynamic derangement and fatal arrhythmia. Veno-arterial extracorporeal membrane oxygenation (V-A ECMO) is used to maintain organ perfusion in FM patients complicating cardiogenic shock. The present study aims to assess the static and dynamic factors in association with mortality in FM patients on V-A ECMO (2) Methods: Twenty-eight patients were enrolled between 2013 to 2019 for analysis (3) Results: In-hospital survival rate was 78.5%. There was no statistical difference in demographics and baseline laboratory data between survivors and non-survivors. However, within 24 h after ECMO support, CK-MB increased by 96.8% among non-survivors, but decreased by 23.7% among survivors (<i<p</i< = 0.022). Troponin I increased by 378% among non-survivors and 1.7% among survivors (<i<p</i< = 0.032). Serum creatinine increased by 108% among non-survivors, but decreased by 8.5% among survivors (<i<p</i< = 0.005). The receiver operating characteristic curve suggested an increase in serum creatinine by 68% within 24 h after ECMO support was associated with increased mortality with an area under the curve of 0.91. (4) Conclusions: V-A ECMO is an excellent tool to support FM patients with cardiogenic shock. The early dynamic change of renal function and cardiac enzymes may be useful for outcome assessment.
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allfields	10.3390/healthcare10061063 doi (DE-627)DOAJ028424069 (DE-599)DOAJ5718dfc8e34c48b1b743806f5428d4d8 DE-627 ger DE-627 rakwb eng Ching-Lin Ho verfasserin aut The Early Dynamic Change in Cardiac Enzymes and Renal Function Is Associated with Mortality in Patients with Fulminant Myocarditis on Extracorporeal Membrane Oxygenation: Analysis of a Single Center’s Experience 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier (1) Background: Fulminant myocarditis (FM) could result in hemodynamic derangement and fatal arrhythmia. Veno-arterial extracorporeal membrane oxygenation (V-A ECMO) is used to maintain organ perfusion in FM patients complicating cardiogenic shock. The present study aims to assess the static and dynamic factors in association with mortality in FM patients on V-A ECMO (2) Methods: Twenty-eight patients were enrolled between 2013 to 2019 for analysis (3) Results: In-hospital survival rate was 78.5%. There was no statistical difference in demographics and baseline laboratory data between survivors and non-survivors. However, within 24 h after ECMO support, CK-MB increased by 96.8% among non-survivors, but decreased by 23.7% among survivors (<i<p</i< = 0.022). Troponin I increased by 378% among non-survivors and 1.7% among survivors (<i<p</i< = 0.032). Serum creatinine increased by 108% among non-survivors, but decreased by 8.5% among survivors (<i<p</i< = 0.005). The receiver operating characteristic curve suggested an increase in serum creatinine by 68% within 24 h after ECMO support was associated with increased mortality with an area under the curve of 0.91. (4) Conclusions: V-A ECMO is an excellent tool to support FM patients with cardiogenic shock. The early dynamic change of renal function and cardiac enzymes may be useful for outcome assessment. fulminant myocarditis extracorporeal membrane oxygenation (ECMO) cardiac enzymes renal function Medicine R Teressa Reanne Ju verfasserin aut Chi Chan Lee verfasserin aut Hsin-Ti Lin verfasserin aut Alexander-Lee Wang verfasserin aut Robert Jeenchen Chen verfasserin aut You-Cian Lin verfasserin aut In Healthcare MDPI AG, 2013 10(2022), 6, p 1063 (DE-627)750371544 (DE-600)2721009-1 22279032 nnns volume:10 year:2022 number:6, p 1063 https://doi.org/10.3390/healthcare10061063 kostenfrei https://doaj.org/article/5718dfc8e34c48b1b743806f5428d4d8 kostenfrei https://www.mdpi.com/2227-9032/10/6/1063 kostenfrei https://doaj.org/toc/2227-9032 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2022 6, p 1063
spelling	10.3390/healthcare10061063 doi (DE-627)DOAJ028424069 (DE-599)DOAJ5718dfc8e34c48b1b743806f5428d4d8 DE-627 ger DE-627 rakwb eng Ching-Lin Ho verfasserin aut The Early Dynamic Change in Cardiac Enzymes and Renal Function Is Associated with Mortality in Patients with Fulminant Myocarditis on Extracorporeal Membrane Oxygenation: Analysis of a Single Center’s Experience 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier (1) Background: Fulminant myocarditis (FM) could result in hemodynamic derangement and fatal arrhythmia. Veno-arterial extracorporeal membrane oxygenation (V-A ECMO) is used to maintain organ perfusion in FM patients complicating cardiogenic shock. The present study aims to assess the static and dynamic factors in association with mortality in FM patients on V-A ECMO (2) Methods: Twenty-eight patients were enrolled between 2013 to 2019 for analysis (3) Results: In-hospital survival rate was 78.5%. There was no statistical difference in demographics and baseline laboratory data between survivors and non-survivors. However, within 24 h after ECMO support, CK-MB increased by 96.8% among non-survivors, but decreased by 23.7% among survivors (<i<p</i< = 0.022). Troponin I increased by 378% among non-survivors and 1.7% among survivors (<i<p</i< = 0.032). Serum creatinine increased by 108% among non-survivors, but decreased by 8.5% among survivors (<i<p</i< = 0.005). The receiver operating characteristic curve suggested an increase in serum creatinine by 68% within 24 h after ECMO support was associated with increased mortality with an area under the curve of 0.91. (4) Conclusions: V-A ECMO is an excellent tool to support FM patients with cardiogenic shock. The early dynamic change of renal function and cardiac enzymes may be useful for outcome assessment. fulminant myocarditis extracorporeal membrane oxygenation (ECMO) cardiac enzymes renal function Medicine R Teressa Reanne Ju verfasserin aut Chi Chan Lee verfasserin aut Hsin-Ti Lin verfasserin aut Alexander-Lee Wang verfasserin aut Robert Jeenchen Chen verfasserin aut You-Cian Lin verfasserin aut In Healthcare MDPI AG, 2013 10(2022), 6, p 1063 (DE-627)750371544 (DE-600)2721009-1 22279032 nnns volume:10 year:2022 number:6, p 1063 https://doi.org/10.3390/healthcare10061063 kostenfrei https://doaj.org/article/5718dfc8e34c48b1b743806f5428d4d8 kostenfrei https://www.mdpi.com/2227-9032/10/6/1063 kostenfrei https://doaj.org/toc/2227-9032 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2022 6, p 1063
allfields_unstemmed	10.3390/healthcare10061063 doi (DE-627)DOAJ028424069 (DE-599)DOAJ5718dfc8e34c48b1b743806f5428d4d8 DE-627 ger DE-627 rakwb eng Ching-Lin Ho verfasserin aut The Early Dynamic Change in Cardiac Enzymes and Renal Function Is Associated with Mortality in Patients with Fulminant Myocarditis on Extracorporeal Membrane Oxygenation: Analysis of a Single Center’s Experience 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier (1) Background: Fulminant myocarditis (FM) could result in hemodynamic derangement and fatal arrhythmia. Veno-arterial extracorporeal membrane oxygenation (V-A ECMO) is used to maintain organ perfusion in FM patients complicating cardiogenic shock. The present study aims to assess the static and dynamic factors in association with mortality in FM patients on V-A ECMO (2) Methods: Twenty-eight patients were enrolled between 2013 to 2019 for analysis (3) Results: In-hospital survival rate was 78.5%. There was no statistical difference in demographics and baseline laboratory data between survivors and non-survivors. However, within 24 h after ECMO support, CK-MB increased by 96.8% among non-survivors, but decreased by 23.7% among survivors (<i<p</i< = 0.022). Troponin I increased by 378% among non-survivors and 1.7% among survivors (<i<p</i< = 0.032). Serum creatinine increased by 108% among non-survivors, but decreased by 8.5% among survivors (<i<p</i< = 0.005). The receiver operating characteristic curve suggested an increase in serum creatinine by 68% within 24 h after ECMO support was associated with increased mortality with an area under the curve of 0.91. (4) Conclusions: V-A ECMO is an excellent tool to support FM patients with cardiogenic shock. The early dynamic change of renal function and cardiac enzymes may be useful for outcome assessment. fulminant myocarditis extracorporeal membrane oxygenation (ECMO) cardiac enzymes renal function Medicine R Teressa Reanne Ju verfasserin aut Chi Chan Lee verfasserin aut Hsin-Ti Lin verfasserin aut Alexander-Lee Wang verfasserin aut Robert Jeenchen Chen verfasserin aut You-Cian Lin verfasserin aut In Healthcare MDPI AG, 2013 10(2022), 6, p 1063 (DE-627)750371544 (DE-600)2721009-1 22279032 nnns volume:10 year:2022 number:6, p 1063 https://doi.org/10.3390/healthcare10061063 kostenfrei https://doaj.org/article/5718dfc8e34c48b1b743806f5428d4d8 kostenfrei https://www.mdpi.com/2227-9032/10/6/1063 kostenfrei https://doaj.org/toc/2227-9032 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2022 6, p 1063
allfieldsGer	10.3390/healthcare10061063 doi (DE-627)DOAJ028424069 (DE-599)DOAJ5718dfc8e34c48b1b743806f5428d4d8 DE-627 ger DE-627 rakwb eng Ching-Lin Ho verfasserin aut The Early Dynamic Change in Cardiac Enzymes and Renal Function Is Associated with Mortality in Patients with Fulminant Myocarditis on Extracorporeal Membrane Oxygenation: Analysis of a Single Center’s Experience 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier (1) Background: Fulminant myocarditis (FM) could result in hemodynamic derangement and fatal arrhythmia. Veno-arterial extracorporeal membrane oxygenation (V-A ECMO) is used to maintain organ perfusion in FM patients complicating cardiogenic shock. The present study aims to assess the static and dynamic factors in association with mortality in FM patients on V-A ECMO (2) Methods: Twenty-eight patients were enrolled between 2013 to 2019 for analysis (3) Results: In-hospital survival rate was 78.5%. There was no statistical difference in demographics and baseline laboratory data between survivors and non-survivors. However, within 24 h after ECMO support, CK-MB increased by 96.8% among non-survivors, but decreased by 23.7% among survivors (<i<p</i< = 0.022). Troponin I increased by 378% among non-survivors and 1.7% among survivors (<i<p</i< = 0.032). Serum creatinine increased by 108% among non-survivors, but decreased by 8.5% among survivors (<i<p</i< = 0.005). The receiver operating characteristic curve suggested an increase in serum creatinine by 68% within 24 h after ECMO support was associated with increased mortality with an area under the curve of 0.91. (4) Conclusions: V-A ECMO is an excellent tool to support FM patients with cardiogenic shock. The early dynamic change of renal function and cardiac enzymes may be useful for outcome assessment. fulminant myocarditis extracorporeal membrane oxygenation (ECMO) cardiac enzymes renal function Medicine R Teressa Reanne Ju verfasserin aut Chi Chan Lee verfasserin aut Hsin-Ti Lin verfasserin aut Alexander-Lee Wang verfasserin aut Robert Jeenchen Chen verfasserin aut You-Cian Lin verfasserin aut In Healthcare MDPI AG, 2013 10(2022), 6, p 1063 (DE-627)750371544 (DE-600)2721009-1 22279032 nnns volume:10 year:2022 number:6, p 1063 https://doi.org/10.3390/healthcare10061063 kostenfrei https://doaj.org/article/5718dfc8e34c48b1b743806f5428d4d8 kostenfrei https://www.mdpi.com/2227-9032/10/6/1063 kostenfrei https://doaj.org/toc/2227-9032 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2022 6, p 1063
allfieldsSound	10.3390/healthcare10061063 doi (DE-627)DOAJ028424069 (DE-599)DOAJ5718dfc8e34c48b1b743806f5428d4d8 DE-627 ger DE-627 rakwb eng Ching-Lin Ho verfasserin aut The Early Dynamic Change in Cardiac Enzymes and Renal Function Is Associated with Mortality in Patients with Fulminant Myocarditis on Extracorporeal Membrane Oxygenation: Analysis of a Single Center’s Experience 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier (1) Background: Fulminant myocarditis (FM) could result in hemodynamic derangement and fatal arrhythmia. Veno-arterial extracorporeal membrane oxygenation (V-A ECMO) is used to maintain organ perfusion in FM patients complicating cardiogenic shock. The present study aims to assess the static and dynamic factors in association with mortality in FM patients on V-A ECMO (2) Methods: Twenty-eight patients were enrolled between 2013 to 2019 for analysis (3) Results: In-hospital survival rate was 78.5%. There was no statistical difference in demographics and baseline laboratory data between survivors and non-survivors. However, within 24 h after ECMO support, CK-MB increased by 96.8% among non-survivors, but decreased by 23.7% among survivors (<i<p</i< = 0.022). Troponin I increased by 378% among non-survivors and 1.7% among survivors (<i<p</i< = 0.032). Serum creatinine increased by 108% among non-survivors, but decreased by 8.5% among survivors (<i<p</i< = 0.005). The receiver operating characteristic curve suggested an increase in serum creatinine by 68% within 24 h after ECMO support was associated with increased mortality with an area under the curve of 0.91. (4) Conclusions: V-A ECMO is an excellent tool to support FM patients with cardiogenic shock. The early dynamic change of renal function and cardiac enzymes may be useful for outcome assessment. fulminant myocarditis extracorporeal membrane oxygenation (ECMO) cardiac enzymes renal function Medicine R Teressa Reanne Ju verfasserin aut Chi Chan Lee verfasserin aut Hsin-Ti Lin verfasserin aut Alexander-Lee Wang verfasserin aut Robert Jeenchen Chen verfasserin aut You-Cian Lin verfasserin aut In Healthcare MDPI AG, 2013 10(2022), 6, p 1063 (DE-627)750371544 (DE-600)2721009-1 22279032 nnns volume:10 year:2022 number:6, p 1063 https://doi.org/10.3390/healthcare10061063 kostenfrei https://doaj.org/article/5718dfc8e34c48b1b743806f5428d4d8 kostenfrei https://www.mdpi.com/2227-9032/10/6/1063 kostenfrei https://doaj.org/toc/2227-9032 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2022 6, p 1063
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The receiver operating characteristic curve suggested an increase in serum creatinine by 68% within 24 h after ECMO support was associated with increased mortality with an area under the curve of 0.91. (4) Conclusions: V-A ECMO is an excellent tool to support FM patients with cardiogenic shock. 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author	Ching-Lin Ho
spellingShingle	Ching-Lin Ho misc fulminant myocarditis misc extracorporeal membrane oxygenation (ECMO) misc cardiac enzymes misc renal function misc Medicine misc R The Early Dynamic Change in Cardiac Enzymes and Renal Function Is Associated with Mortality in Patients with Fulminant Myocarditis on Extracorporeal Membrane Oxygenation: Analysis of a Single Center’s Experience
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topic_title	The Early Dynamic Change in Cardiac Enzymes and Renal Function Is Associated with Mortality in Patients with Fulminant Myocarditis on Extracorporeal Membrane Oxygenation: Analysis of a Single Center’s Experience fulminant myocarditis extracorporeal membrane oxygenation (ECMO) cardiac enzymes renal function
topic	misc fulminant myocarditis misc extracorporeal membrane oxygenation (ECMO) misc cardiac enzymes misc renal function misc Medicine misc R
topic_unstemmed	misc fulminant myocarditis misc extracorporeal membrane oxygenation (ECMO) misc cardiac enzymes misc renal function misc Medicine misc R
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title	The Early Dynamic Change in Cardiac Enzymes and Renal Function Is Associated with Mortality in Patients with Fulminant Myocarditis on Extracorporeal Membrane Oxygenation: Analysis of a Single Center’s Experience
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title_full	The Early Dynamic Change in Cardiac Enzymes and Renal Function Is Associated with Mortality in Patients with Fulminant Myocarditis on Extracorporeal Membrane Oxygenation: Analysis of a Single Center’s Experience
author_sort	Ching-Lin Ho
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author_browse	Ching-Lin Ho Teressa Reanne Ju Chi Chan Lee Hsin-Ti Lin Alexander-Lee Wang Robert Jeenchen Chen You-Cian Lin
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title_sort	early dynamic change in cardiac enzymes and renal function is associated with mortality in patients with fulminant myocarditis on extracorporeal membrane oxygenation: analysis of a single center’s experience
title_auth	The Early Dynamic Change in Cardiac Enzymes and Renal Function Is Associated with Mortality in Patients with Fulminant Myocarditis on Extracorporeal Membrane Oxygenation: Analysis of a Single Center’s Experience
abstract	(1) Background: Fulminant myocarditis (FM) could result in hemodynamic derangement and fatal arrhythmia. Veno-arterial extracorporeal membrane oxygenation (V-A ECMO) is used to maintain organ perfusion in FM patients complicating cardiogenic shock. The present study aims to assess the static and dynamic factors in association with mortality in FM patients on V-A ECMO (2) Methods: Twenty-eight patients were enrolled between 2013 to 2019 for analysis (3) Results: In-hospital survival rate was 78.5%. There was no statistical difference in demographics and baseline laboratory data between survivors and non-survivors. However, within 24 h after ECMO support, CK-MB increased by 96.8% among non-survivors, but decreased by 23.7% among survivors (<i<p</i< = 0.022). Troponin I increased by 378% among non-survivors and 1.7% among survivors (<i<p</i< = 0.032). Serum creatinine increased by 108% among non-survivors, but decreased by 8.5% among survivors (<i<p</i< = 0.005). The receiver operating characteristic curve suggested an increase in serum creatinine by 68% within 24 h after ECMO support was associated with increased mortality with an area under the curve of 0.91. (4) Conclusions: V-A ECMO is an excellent tool to support FM patients with cardiogenic shock. The early dynamic change of renal function and cardiac enzymes may be useful for outcome assessment.
abstractGer	(1) Background: Fulminant myocarditis (FM) could result in hemodynamic derangement and fatal arrhythmia. Veno-arterial extracorporeal membrane oxygenation (V-A ECMO) is used to maintain organ perfusion in FM patients complicating cardiogenic shock. The present study aims to assess the static and dynamic factors in association with mortality in FM patients on V-A ECMO (2) Methods: Twenty-eight patients were enrolled between 2013 to 2019 for analysis (3) Results: In-hospital survival rate was 78.5%. There was no statistical difference in demographics and baseline laboratory data between survivors and non-survivors. However, within 24 h after ECMO support, CK-MB increased by 96.8% among non-survivors, but decreased by 23.7% among survivors (<i<p</i< = 0.022). Troponin I increased by 378% among non-survivors and 1.7% among survivors (<i<p</i< = 0.032). Serum creatinine increased by 108% among non-survivors, but decreased by 8.5% among survivors (<i<p</i< = 0.005). The receiver operating characteristic curve suggested an increase in serum creatinine by 68% within 24 h after ECMO support was associated with increased mortality with an area under the curve of 0.91. (4) Conclusions: V-A ECMO is an excellent tool to support FM patients with cardiogenic shock. The early dynamic change of renal function and cardiac enzymes may be useful for outcome assessment.
abstract_unstemmed	(1) Background: Fulminant myocarditis (FM) could result in hemodynamic derangement and fatal arrhythmia. Veno-arterial extracorporeal membrane oxygenation (V-A ECMO) is used to maintain organ perfusion in FM patients complicating cardiogenic shock. The present study aims to assess the static and dynamic factors in association with mortality in FM patients on V-A ECMO (2) Methods: Twenty-eight patients were enrolled between 2013 to 2019 for analysis (3) Results: In-hospital survival rate was 78.5%. There was no statistical difference in demographics and baseline laboratory data between survivors and non-survivors. However, within 24 h after ECMO support, CK-MB increased by 96.8% among non-survivors, but decreased by 23.7% among survivors (<i<p</i< = 0.022). Troponin I increased by 378% among non-survivors and 1.7% among survivors (<i<p</i< = 0.032). Serum creatinine increased by 108% among non-survivors, but decreased by 8.5% among survivors (<i<p</i< = 0.005). The receiver operating characteristic curve suggested an increase in serum creatinine by 68% within 24 h after ECMO support was associated with increased mortality with an area under the curve of 0.91. (4) Conclusions: V-A ECMO is an excellent tool to support FM patients with cardiogenic shock. The early dynamic change of renal function and cardiac enzymes may be useful for outcome assessment.
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title_short	The Early Dynamic Change in Cardiac Enzymes and Renal Function Is Associated with Mortality in Patients with Fulminant Myocarditis on Extracorporeal Membrane Oxygenation: Analysis of a Single Center’s Experience
url	https://doi.org/10.3390/healthcare10061063 https://doaj.org/article/5718dfc8e34c48b1b743806f5428d4d8 https://www.mdpi.com/2227-9032/10/6/1063 https://doaj.org/toc/2227-9032
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author2	Teressa Reanne Ju Chi Chan Lee Hsin-Ti Lin Alexander-Lee Wang Robert Jeenchen Chen You-Cian Lin
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up_date	2024-07-03T17:31:07.781Z
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The Early Dynamic Change in Cardiac Enzymes and Renal Function Is Associated with Mortality in Patients with Fulminant Myocarditis on Extracorporeal Membrane Oxygenation: Analysis of a Single Center’s Experience

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