Successful management of Influenza A associated fulminant myocarditis: mobile circulatory support in intensive care unit: a case report

Table 1 Evolution of hemodynamic data, inotropic support and biology at the admission and during hospitalization in medical ICU

		H	H+6	H+12	H+18	H+24	H+48
	Emergency department	ICU admission	ventilation	Before CVVHDF	Before ECMO		Before transfer in surgical ICU
Hemodynamic data
MAP (mmHg)	60	66	80	78	55	78	86
Cardiac index (L × min^-1 × m^-2)			4.4	3.8	2.4
LVEF (%)			45	22	11
Urinary output (mL/h)		450	400	33	40	80	100
Inotropic support
Epinephrine (mg/h)				5	25	10	4
Norepinephrine (mg/h)		2.1	4.8	14.4	0
Dobutamine (μg × kg^-1 × min^-1)					8	13	17
Biology
Troponin I (ng/mL)	0.75		10.10	18.6	29.77	28.36	23.18
BNP (pg/mL))				228		321	288
pH		7.36	7.16	7.27	7.19	7.13	7.30
Lactate level (mmol/L)	0.7	1.25	1.8	2.83	9.84	13.47	11.69
PaO2/FiO2		120	157	59	225	196	312
ASAT (IU/L)/ALAT (IU/L)	43/18	35/21		28/36	587/293
Total bilirubin (mg/dL)		11		15	21
INR	1.33			1.96	2.35		4.15
Factor V (%)				30%			< 20%

ICU: intensive care unit; CVVHDF: continuous veno-venous hemodiafiltration; ECMO: extracorporeal membrane oxygenation; MAP: mean arterial pressure; LVEF: left ventricle ejection fraction; BNP: brain natriuretic peptide; ASAT: aspartate aminotransferase; ALAT: alanine aminotransferase; INR International Normalized Ratio