Anaphylactic shock after amiodarone infusion resulting in haemodynamic collapse requiring a temporary ventricular assist device

Cardiol Young. 2015 Jan;25(1):164-6. doi: 10.1017/S1047951113002229. Epub 2013 Dec 18.

Abstract

Acute heart failure related to anaphylactic shock is often reversible and necessitates aggressive support to ensure full recovery. We report the case of a 15-year-old boy who developed severe ventricular dysfunction and haemodynamic instability after administration of amiodarone and required temporary mechanical circulatory support with a left ventricular assist device. He had full recovery of cardiac function and returned to baseline neurologic status. This is the first report of successful left ventricular assist device use for recovery from cardiovascular collapse due to anaphylaxis.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Amiodarone / administration & dosage
  • Amiodarone / adverse effects*
  • Anaphylaxis / complications*
  • Anaphylaxis / physiopathology
  • Anti-Arrhythmia Agents / administration & dosage
  • Anti-Arrhythmia Agents / adverse effects
  • Heart Failure / etiology*
  • Heart Failure / physiopathology
  • Heart Failure / therapy
  • Heart-Assist Devices*
  • Hemodynamics / drug effects*
  • Humans
  • Infusions, Intravenous
  • Male
  • Tachycardia, Ventricular / drug therapy*
  • Tachycardia, Ventricular / physiopathology

Substances

  • Anti-Arrhythmia Agents
  • Amiodarone