Open AccessAngiotensin II: A Multimodal Approach to Vasoplegia in a Cardiac Setting
Author(s) -
William Sovic,
Christo Mathew,
Britton Blough,
Kara-Ann Monday,
Teena Sam,
Hira Zafar,
Cesar GuerreroMiranda,
Melody Sherwood,
Christopher Hebert,
Shelley Hall,
Amit Alam
Publication year - 2021
Publication title -
methodist debakey cardiovascular journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.552
H-Index - 23
eISSN - 1947-6094
pISSN - 1947-6108
DOI - 10.14797/mdcvj.576
Subject(s) - medicine , ventricular assist device , cardiology , shock (circulatory) , angiotensin ii , heart failure , blood pressure
Patients experiencing vasoplegia, a type of distributive shock, have limited options when conventional vasopressors are not appropriate or sufficient. This is especially true for patients with cardiac dysfunction, whether after heart transplant or ventricular assist device (VAD) implantation. Angiotensin II has been used in various clinical settings for distributive shock; however, its role in patients after orthotopic heart transplant or VAD implantation is not well studied. We present two cases where angiotensin II played a vital role in correcting vasoplegia for critical cardiac patients.