{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T10:42:48Z","timestamp":1774262568277,"version":"3.50.1"},"reference-count":11,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,10,13]]},"abstract":"<jats:p>Septic shock is a life-threatening condition that occurs when the blood pressure drops to a low level after an infection. Atrial fibrillation (AF) is the most common arrhythmia to complicate its course. Beta (\u03b2)-blockers are often administrated to manage supraventricular tachyarrhythmias observed in patients presenting with sepsis. A 74-year-old woman presenting with sepsis demonstrated AF tachycardia characterised by severe hypotension. She was refractory to conventional therapy including verapamil and digoxin; therefore, treatment using landiolol (an ultrashort-acting \u03b2-blocker) was initiated. Her clinical course was followed over 48\u2009hours, and she showed a significant improvement in her heart rate and blood pressure without any adverse effect. Landiolol can rapidly control the accelerated heart rate associated with AF in critically decompensated patients presenting with septic shock.<\/jats:p>","DOI":"10.1136\/bcr-2017-222268","type":"journal-article","created":{"date-parts":[[2017,11,1]],"date-time":"2017-11-01T13:10:37Z","timestamp":1509541837000},"page":"bcr-2017-222268","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Landiolol is effective for the treatment of tachycardia-induced cardiogenic shock in patients during septic shock therapy"],"prefix":"10.1136","volume":"2017","author":[{"given":"Yoh","family":"Arita","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takatsugu","family":"Segawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shohei","family":"Yamamoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinji","family":"Hasegawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,11,1]]},"reference":[{"key":"2025042712595687000_2017.oct31_1.bcr-2017-222268.1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1208623"},{"key":"2025042712595687000_2017.oct31_1.bcr-2017-222268.2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.0287"},{"key":"2025042712595687000_2017.oct31_1.bcr-2017-222268.3","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.1615"},{"key":"2025042712595687000_2017.oct31_1.bcr-2017-222268.4","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1378\/chest.15-0959","article-title":"Practice patterns and outcomes of treatments for atrial fibrillation during sepsis: a propensity-matched cohort study","volume":"149","author":"Walkey","year":"2016","journal-title":"Chest"},{"key":"2025042712595687000_2017.oct31_1.bcr-2017-222268.5","doi-asserted-by":"crossref","first-page":"251","DOI":"10.5492\/wjccm.v4.i3.251","article-title":"Landiolol, an ultra-short-acting \u03b21-blocker, is useful for managing supraventricular tachyarrhythmias in sepsis","volume":"4","author":"Okajima","year":"2015","journal-title":"World J Crit Care Med"},{"key":"2025042712595687000_2017.oct31_1.bcr-2017-222268.6","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1186\/s13054-014-0688-5","article-title":"Incidence, risk factors and outcomes of new-onset atrial fibrillation in patients with sepsis: a systematic review","volume":"18","author":"Kuipers","year":"2014","journal-title":"Crit Care"},{"key":"2025042712595687000_2017.oct31_1.bcr-2017-222268.7","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(87)90797-6"},{"key":"2025042712595687000_2017.oct31_1.bcr-2017-222268.8","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.278477"},{"key":"2025042712595687000_2017.oct31_1.bcr-2017-222268.9","doi-asserted-by":"publisher","DOI":"10.1007\/s40265-013-0077-4"},{"key":"2025042712595687000_2017.oct31_1.bcr-2017-222268.10","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-12-1618"},{"key":"2025042712595687000_2017.oct31_1.bcr-2017-222268.11","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1016\/j.joa.2015.09.002","article-title":"Practical applicability of landiolol, an ultra-short-acting \u03b21-selective blocker, for rapid atrial and ventricular tachyarrhythmias with left ventricular dysfunction","volume":"32","author":"Wada","year":"2016","journal-title":"J Arrhythm"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-222268","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T20:00:04Z","timestamp":1745784004000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-222268"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11,1]]},"references-count":11,"alternative-id":["10.1136\/bcr-2017-222268"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-222268","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,11,1]]}}}