Intensive Care Medicine

, Volume 44, Issue 12, pp 2307–2308 | Cite as

H1N1-related ARDS requiring veno-venous extracorporeal membrane oxygenation and the heart

  • Chiara LazzeriEmail author
  • Manuela Bonizzoli
  • Giovanni Cianchi
  • Stefano Batacchi
  • Adriano Peris

Cardiovascular involvement in influenza infection, mainly reported in observational small series [1], is thought to occur through the direct effect of the virus in the myocardium or through exacerbating preexisting cardiovascular disease [2]. Since severe acute respiratory distress syndrome (ARDS) needing veno-venous extracorporeal membrane oxygenation (VV-ECMO) is a known complication of influenza infection even in young people, we specifically addressed cardiovascular involvement (by means of serial echocardiograms) in 22 consecutive patients with H1N1-related ARDS treated with VV-ECMO admitted to our ECMO referral center (January 2016–April 2018).

Echocardiographic examination (transesophageal/transthoracic) was performed before and during ECMO implantation [3], during ECMO support and ICU stay (according to the physician’s judgment), and at discharge. The study was approved by our institutional ethical board and performed in accordance with the ethical standards laid down in the...


Compliance with ethical standards

Conflicts of interest

All authors declare that they have no conflict of interest


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature and ESICM 2018

Authors and Affiliations

  1. 1.Intensive Care Unit and Regional, ECMO Referral Centre Emergency DepartmentAzienda Ospedaliero-Universitaria CareggiFlorenceItaly

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