Cardiogenic shock due to yew poisoning rescued by VA-ECMO: case report and literature review
Ingestion of leaves of the European yew tree (Taxus baccata) can result in fatal cardiac arrhythmias and acute cardiogenic shock. This cardiotoxicity derives from taxine alkaloids that block cardiac voltage-gated sodium and calcium channels. Prompt initiation of venoarterial extracorporeal membrane...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2022-12-01
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| Series: | Channels |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/19336950.2022.2104886 |
| _version_ | 1818504617078554624 |
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| author | Nikolaus Schreiber Martin Manninger Sascha Pätzold Alexander C. Reisinger Stefan Hatzl Gerald Hackl Christoph Högenauer Philipp Eller |
| author_facet | Nikolaus Schreiber Martin Manninger Sascha Pätzold Alexander C. Reisinger Stefan Hatzl Gerald Hackl Christoph Högenauer Philipp Eller |
| author_sort | Nikolaus Schreiber |
| collection | DOAJ |
| description | Ingestion of leaves of the European yew tree (Taxus baccata) can result in fatal cardiac arrhythmias and acute cardiogenic shock. This cardiotoxicity derives from taxine alkaloids that block cardiac voltage-gated sodium and calcium channels. Prompt initiation of venoarterial extracorporeal membrane oxygenation is essential to bridge these critically ill patients to recovery, as there is no antidote available. We here report a 39-year old patient with toxic cardiogenic shock after yew poisoning, who was successfully rescued by venoarterial extracorporeal membrane oxygenation and had a full neurological recovery. This report emphasizes the role of intoxications as reversible causes of cardiac arrest and adds further evidence to the body of existing literature thus encouraging the early use of venoarterial extracorporeal membrane oxygenation in patients with yew poisoning and cardiogenic shock. |
| first_indexed | 2024-12-10T21:39:31Z |
| format | Article |
| id | doaj.art-12ae0f9fb49d4d82af48e0b72a1352e8 |
| institution | Directory Open Access Journal |
| issn | 1933-6950 1933-6969 |
| language | English |
| last_indexed | 2024-12-10T21:39:31Z |
| publishDate | 2022-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Channels |
| spelling | doaj.art-12ae0f9fb49d4d82af48e0b72a1352e82022-12-22T01:32:32ZengTaylor & Francis GroupChannels1933-69501933-69692022-12-0116116717210.1080/19336950.2022.2104886Cardiogenic shock due to yew poisoning rescued by VA-ECMO: case report and literature reviewNikolaus Schreiber0Martin Manninger1Sascha Pätzold2Alexander C. Reisinger3Stefan Hatzl4Gerald Hackl5Christoph Högenauer6Philipp Eller7Department of Internal Medicine, Intensive Care Unit, Medical University of Graz, Graz, AustriaDepartment of Internal Medicine, Division of Cardiology, Medical University of Graz, Graz, AustriaDepartment of Internal Medicine, Division of Cardiology, Medical University of Graz, Graz, AustriaDepartment of Internal Medicine, Intensive Care Unit, Medical University of Graz, Graz, AustriaDepartment of Internal Medicine, Intensive Care Unit, Medical University of Graz, Graz, AustriaDepartment of Internal Medicine, Intensive Care Unit, Medical University of Graz, Graz, AustriaDepartment of Internal Medicine, Division of Gastroenterology and Hepatology, Medical University of Graz, Graz, AustriaDepartment of Internal Medicine, Intensive Care Unit, Medical University of Graz, Graz, AustriaIngestion of leaves of the European yew tree (Taxus baccata) can result in fatal cardiac arrhythmias and acute cardiogenic shock. This cardiotoxicity derives from taxine alkaloids that block cardiac voltage-gated sodium and calcium channels. Prompt initiation of venoarterial extracorporeal membrane oxygenation is essential to bridge these critically ill patients to recovery, as there is no antidote available. We here report a 39-year old patient with toxic cardiogenic shock after yew poisoning, who was successfully rescued by venoarterial extracorporeal membrane oxygenation and had a full neurological recovery. This report emphasizes the role of intoxications as reversible causes of cardiac arrest and adds further evidence to the body of existing literature thus encouraging the early use of venoarterial extracorporeal membrane oxygenation in patients with yew poisoning and cardiogenic shock.https://www.tandfonline.com/doi/10.1080/19336950.2022.2104886ECMOcardiogenic shocktaxine alkaloidsyew |
| spellingShingle | Nikolaus Schreiber Martin Manninger Sascha Pätzold Alexander C. Reisinger Stefan Hatzl Gerald Hackl Christoph Högenauer Philipp Eller Cardiogenic shock due to yew poisoning rescued by VA-ECMO: case report and literature review Channels ECMO cardiogenic shock taxine alkaloids yew |
| title | Cardiogenic shock due to yew poisoning rescued by VA-ECMO: case report and literature review |
| title_full | Cardiogenic shock due to yew poisoning rescued by VA-ECMO: case report and literature review |
| title_fullStr | Cardiogenic shock due to yew poisoning rescued by VA-ECMO: case report and literature review |
| title_full_unstemmed | Cardiogenic shock due to yew poisoning rescued by VA-ECMO: case report and literature review |
| title_short | Cardiogenic shock due to yew poisoning rescued by VA-ECMO: case report and literature review |
| title_sort | cardiogenic shock due to yew poisoning rescued by va ecmo case report and literature review |
| topic | ECMO cardiogenic shock taxine alkaloids yew |
| url | https://www.tandfonline.com/doi/10.1080/19336950.2022.2104886 |
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