case_images: PMC11359704_01
case_images: Electrocardiogram (10 mm/mV, 25 mm/s) on arrival (A) and on hospital day 2 (B).
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case_images: Electrocardiography revealed bradycardia at a rate of 53 bpm and a wide QRS interval of 238 ms with QT prolongation (QTc 595 ms) and an unrecognizable P wave (Figure 1A). Wide QRS arrhythmia gradually recovered by 20 h after arrival (Figure 1B), and bedside echocardiography showed recovery of left ventricular function with a visual EF of 30% and successful weaning of the vasopressors.
case_images: Progress chart during ICU admission. AC, activated charcoal; dBP, diastolic blood pressure; ECG, electrocardiogram; ER, endoscopic removal; HR, heart rate; ILE, intravenous lipid emulsion; sBP, blood pressure; VA-ECMO, venoarterial extracorporeal membrane oxygenation.
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case_images: PMC11359704_01_AMS2-11-e70001-g001.jpg
case_images: ams270001-fig-0002
case_images: Due to improvement in cardiac function and recovery from wide QRS arrhythmia and cardiogenic shock, decannulation and removal of VA-ECMO were successfully performed on hospital day 2 (20 h after the initiation of VA-ECMO) (Figure 2).