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CARDIOVASCULAR JOURNAL OF AFRICA • Volume 25, No 6, November/December 2014
AFRICA
e3
to the patient for several months had not contained any vitamin
supplementation.
Three hours after thiamine administration, the patient’s pulse
was tactile and the systolic blood pressure measured 90 mmHg.
Six hours later, urine output was increased to 180 cc per hour.
The ejection fraction on portable echocardiography measured
up to 50%, which was 25% just before the CAG, and LV motion
was much improved.
He completely recovered from acidosis on the next day
(Table 1) and the vasopressor was discontinued two days after
the event. ECG showed normalisation of the ST-segment,
which was elevated previously (Fig. 5). We continued thiamine
Fig. 3.
An emergency coronary angiogram on ICU admission (B) showed no significant interval change compared with the previ-
ous CAG (A).
A
B
Fig. 4.
Time-flow sheet shows blood pressure, respiration rate, body temperature, and administration of fluid, bicarbonate and
vasopressors.