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Title of Journal: Intensive Care Med

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Abbravation: Intensive Care Medicine

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Springer-Verlag

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DOI

10.1007/s11739-013-0988-9

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1432-1238

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Cardiac biochemical monitoring for the detection o

Authors: Jochen Pöling Wolfgang Rees Stephan Klaus Ludger Bahlmann Mahesh Gumniah Virgilius Ziaukas Henning Warnecke
Publish Date: 2006/03/02
Volume: 32, Issue: 4, Pages: 628-629
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Abstract

Dear Editor The microdialysis technique allows in vivo sampling and immediate biochemical analysis of interstitial fluid To our knowledge the following case is the first to describe in vivo myocardial metabolism in a patient with acute myocardial infarction during and after bypass surgery with lethal complicationsA 65yearold man with acute myocardial infarction received initial but ineffective thrombolysis Coronary angiogram revealed subtotal stenosis of the right coronary artery and angioplasty led to dissection making necessary surgical rescue intervention During the operation a microdialysis catheter was placed directly into the area of infarction and a standard bypass operation was performed uneventfully Three hours later the patient developed ventricular fibrillation Diagnostics showed severe right ventricular infarction Despite use of an intraaortic balloon pump NO ventilation and catecholamine therapy the patient died 9 h postoperatively

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