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This phenomenon is called postburn "shock heart" ("cardiac shock"), the pathogenesis of which is unclear.
An understanding of the clinical aspects of electrical storm (E-storms) in patients with implantable cardiac shock devices (ICSDs: ICDs or cardiac resynchronization therapy with defibrillator [CRT-D]) may provide important information for clinical management of patients with ICSDs.
Cardiac decompensation the most common was acute heart failure in 43.7%%, followed by arrhythmia in 32.2 % and cardiac shock in 21.9 %.
Most of this patients have multiple organ failure caused by septic shock or cardiac shock.
Refractory cardiac shock in the cardiac surgical intensive care unit confers significant morbidity and mortality.
The speed of infusion was not dictated by protocol whereas in the study by Polderman and colleagues, 1,500 ml of fluid was infused in 30 (no cardiac shock) or 60 minutes (cardiac shock).
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Cardiac failure, shock, atrioventricular block and atrial flutter/ fibrillation were more common among diabetic patients.
Patients dead from post cardiac arrest shock, stroke, moribund, spontaneous awaking, or missing data were excluded.
Complications requiring ICU care were defined as subsequent development of cardiac arrest, shock, high-grade atrioventricular block, respiratory failure, stroke, or death during the index hospitalization.
We excluded 1,866 patients who underwent airway management for cardiac arrest, shock or status asthmaticus and 103 patients who were aged younger than 18 years.
We excluded those patients in whom airway management was performed for cardiac arrest, shock (systolic blood pressure < 90 mmHg) or status asthmaticus as the principal indication.
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