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- W2300085220 abstract "A 40-year-old male was transferred to our emer-gency department with an intra-aortic balloon pump(IABP) and extracorporeal membrane oxygenation(ECMO). Tracing back his history, he had a long his-tory of hypertension without regular medication. Notravel or insect-bite history was found. He had com-plained of chest discomfort for several days with symp-toms of upper respiratory infection. Severe chest painfor 1 day occurred, and he visited a local hospital. De-spite no ST-T elevation on the electrocardiogram (ECG),non-ST-T elevation myocardial infarction was diagnosedby the elevated cardiac enzymes (creatine kinase (CK)/creatine kinase-MB (CK-MB)/troponin-I of 298/84/3.97). A physical examination showed high blood pres-sure of 212/110 mmHg. The echocardiography revealedminimal pericardial effusion and global hypokinesis.However, cardiac catheterization revealed patent coro-nary arteries. After admission to the critical care unit(CCU), cardiac shock occurred once and cardiopulmo-nary resuscitation was performed. The IABP and thenECMO were utilized to provide respiratory and cardio-vascular support after endotracheal intubation with me-chanical ventilator support. He was transferred to ourhospital for further management. At our institution, labo-ratory tests showed a serum B-type natriuretic peptidelevel of 2130 pg/ml (normal, < 100 pg/ml), a creatininelevel of 3.2 mg/dl; CK of 3735 U/L (with an MB frac-tion of 93.2 U/L), and Tron.-I of 14 ng/ml. A physicalexamination revealed ischemic change in the left calf,the same side on which the ECMO catheters wereinserted. Chest and abdominal computed tomographic(CT) scans showed a 6-cm right suprarenal mass withinternal mild heterogeneous density and suspiciousbleeding internally (Fig. 2). Only mild 2-[" @default.
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- W2300085220 date "2007-09-01" @default.
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- W2300085220 title "A Case With An Adrenal Tumor and Shock" @default.
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