Open AccessBurn‐induced myocardial depression in a pediatric patient leading to fulminant cardiogenic shock and multiorgan failure requiring extracorporeal life support
Author(s) -
Panchal Apurva,
Casadonte Joseph
Publication year - 2020
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.2667
Subject(s) - medicine , cardiogenic shock , hypovolemia , cardiology , multiorgan failure , shock (circulatory) , extracorporeal , heart failure , fulminant , depression (economics) , intensive care medicine , myocardial infarction , economics , macroeconomics
Cardiac stress is a critical determinant of outcomes associated with severe thermal injury. The cardiovascular response to a catecholamine‐mediated surge from severe burns passes through two phases. Initial hypovolemia with myocardial depression leads to a low cardiac output, which then progresses to a hyperdynamic‐hypermetabolic phase with increased cardiac output.