Myocardial ischaemia and weaning failure: is angioplasty the heart of the problem?
We report the case of a 79-year-old patient admitted to our medical intensive care unit with acute respiratory distress because of an amiodarone-induced interstitial pneumonia, for which refractory hypoxaemia required intubation. Chronic ischaemic heart disease, with 40% of left ventricular ejection fraction (LVEF), was controlled by medical treatment. Although coronary angiography 1 year previously had shown severe stenosis of the left anterior artery, no revascularization had been performed to date.
KeywordsLeft Ventricular Ejection Fraction Dobutamine Brain Natriuretic Peptide Brain Natriuretic Peptide Level Spontaneous Breathing Trial