Guillaume Hékimian

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The postresuscitation phase after out-of-hospital circulatory arrest shares similarities with severe sepsis. Corticosteroid replacement is beneficial in patients with septic shock and adrenal dysfunction. The goal of this study was to assess baseline cortisol and adrenal reserve of out-of-hospital circulatory arrest patients after recovery of spontaneous(More)
A 58-year-old man was admitted to our hospital for severe symptomatic aortic regurgitation revealed by symptoms of progressive dyspnoea (NYHA class III) and congestive heart failure. History included a long-standing hypertension, diabetes mellitus, and smoking. On physical examination, blood pressure was 139/ 74 mmHg, heart rate 74 b.p.m., cardiac(More)
BACKGROUND Despite quick implementation of reperfusion therapies, a few patients with high-risk, acute, massive, pulmonary embolism (PE) remain highly hemodynamically unstable. Others have absolute contraindication to receive reperfusion therapies. Venoarterial-extracorporeal membrane oxygenation (VA-ECMO) might lower their right ventricular overload,(More)
BACKGROUND Pheochromocytoma, a rare catecholamine-producing tumor, might provoke stress-induced Takotsubo-like cardiomyopathy and severe cardiogenic shock. Because venoarterial-extracorporeal membrane oxygenation (VA-ECMO) rescue of pheochromocytoma-induced refractory cardiogenic shock has rarely been reported, we reviewed our ICU patients' presentations(More)
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