Extracorporeal membrane oxygenation in acute myocardial infarction complicated with acute heart failure
1 Heart Institute of the Ministry of Health of Ukraine, Kyiv, Ukraine
2 Shupyk National Health Care University of Ukraine, Kyiv, Ukraine
Extracorporeal membrane oxygenation is used in acute heart failure that is resistant to drug therapy and intra-aortic balloon counterpulsation. Colleagues from America practice the use of ECMO with a cardiac index above 2.0 l/min. In our case, the application of ECMO at a cardiac index of 1.3 l/min with the discharge of the patient from the hospital with a satisfactory result of treatment is described. This article represent a clinical case of ECMO application in refractory acute heart failure and a multidisciplinary approach to the treatment of complicated myocardial infarction.
Key words: myocardial infarction, extracorporeal membrane oxygenation, intra-aortic balloon contrapulsation, coronary angiography