Pulmonary artery catheter usage in diagnosis of Shoshin beriberi presented with unexplained lactic acidosis.

Autor: Hung YH; Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan., Yu AL; Department of Internal Medicine, Division of Cardiology, National Taiwan University Hospital, Taipei, Taiwan., Chen CK; Department of Internal Medicine, Division of Cardiology, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, Taiwan., Liao MT; Department of Internal Medicine, Division of Cardiology, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, Taiwan.; Department of Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan., Hsieh MY; Department of Internal Medicine, Division of Cardiology, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, Taiwan., Chen WJ; Department of Internal Medicine, Min-Sheng General Hospital, Taoyuan, Taiwan.
Jazyk: angličtina
Zdroj: ESC heart failure [ESC Heart Fail] 2023 Aug; Vol. 10 (4), pp. 2686-2693. Date of Electronic Publication: 2023 Apr 12.
DOI: 10.1002/ehf2.14374
Abstrakt: Wet beriberi is a rare but fatal disease in modern society. The nonspecific clinical manifestations, including symptoms of heart failure and recalcitrant lactic acidosis, can prevent timely diagnosis. The use of a pulmonary artery catheter can promptly confirm a high cardiac output state and plays a crucial role in rapidly deteriorating cases. Appropriate treatment with intravenous administration of thiamine leads to dramatic recovery within hours. We present two cases of Shoshin beriberi, a fulminant variant of wet beriberi, diagnosed in 2016 and 2022 at our institute. The patients experienced haemodynamic collapse and refractory lactic acidosis, which were successfully diagnosed with the use of a pulmonary artery catheter and reversed by thiamine supplementation. We also reviewed 19 cases of wet beriberi reported between 2010 and 2022.
(© 2023 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology.)
Databáze: MEDLINE
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