A Case of Shoshin Beriberi with Acute Right Heart Failure and Renal Failure Required V-A ECMO
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- Kawahara Yuki
- Department of Cardiology, Mito Saiseikai General Hospital
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- Chiba Yoshiro
- Department of Cardiology, Mito Saiseikai General Hospital
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- Yamada Norihiro
- Department of Cardiology, Mito Saiseikai General Hospital
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- Shiina Eri
- Department of Nephrology, Mito Saiseikai General Hospital
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- Gunji Masanobu
- Department of Nephrology, Mito Saiseikai General Hospital
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- Hasumi Syoko
- Department of Nephrology, Mito Saiseikai General Hospital
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- Kurosawa Hiromi
- Department of Nephrology, Mito Saiseikai General Hospital
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- Sato Chihiro
- Department of Nephrology, Mito Saiseikai General Hospital
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- Ebihara Itaru
- Department of Nephrology, Mito Saiseikai General Hospital
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- Ohira Koji
- Department of Cardiology, Mito Saiseikai General Hospital
Bibliographic Information
- Other Title
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- 急性右心不全・急性腎不全で発症し V-A ECMOを要した衝心脚気の1例
Description
<p>60歳台，男性．めまい・倦怠感でA病院を受診し，急性腎不全で入院となった．入院時より心エコーで肺高血圧と右心系の拡大を認め，翌日に突然の血圧低下と意識障害，アシドーシスの急激な進行を認めた．数時間後に心停止し，緊急でV-A ECMO（veno-arterial extracorporeal membrane oxygenation）を導入した．その後も血圧低値が遷延したが，ビタミンB1の補充を行ったところ，血行動態は安定し，衝心脚気と診断した．原因不明の急性右心不全・肺高血圧の症例ではその可能性も念頭に置く必要がある．</p>
Journal
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- Nihon Naika Gakkai Zasshi
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Nihon Naika Gakkai Zasshi 110 (8), 1649-1655, 2021-08-10
The Japanese Society of Internal Medicine
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Details 詳細情報について
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- CRID
- 1390293025962899456
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- ISSN
- 18832083
- 00215384
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- OpenAIRE
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- Abstract License Flag
- Disallowed
