Abstract
A 48-year-old man in sudden shock and dyspnea was transferred to our hospital. Catecholamines, sodium bicarbonate, and intra-aortic balloon pumping were ineffective to cardiovascular collapse accompanied by metabolic acidosis that was presented on admission and worsened to critical bradycardia and finally to cardiac arrest during coronary angiography. Resuscitation efforts including temporary pacemaker and percutaneous cardiopulmonary support (PCPS) was promptly started and a 100mg of fursultiamine was given intravenously supposing that it was vitamin B1 deficiency. Metabolic acidosis resolved and hemodynamics stabilized two hours and six hours after the administration respectively. Following administration of fursultiamine at 50mg/day improved his hemodynamics and metabolic acidosis dramatically and the patient was weaned from PCPS on the next day, then discharged, three days after, from the ICU without sequelae. We conclude that an immediate administration of vitamin B1 is important for patients in whom beriberi heart is suspected.
