2.3 Outcome and follow-up
The patient was treated with procaterol, systemic corticosteroids,
leukotriene receptor antagonists, and aminophylline for status
asthmaticus and with heparin for TTC. Adrenaline was used after the
diagnosis of TTC. The respiratory status improved promptly, and she was
extubated on day 2 and discharged on day 10. During hospitalization, ST
changes in the electrocardiogram were typical for TTC; ST elevation
normalized within few days and a deep negative T wave developed in a
week. After asthma therapy and extubation, the fractional exhaled nitric
oxide level was 10 ppb, and spirometry showed an almost normal pattern.
The patient was discharged with instructions to follow up as an
outpatient and was prescribed an inhaled corticosteroids/long-acting β
agonists/long-acting muscarinic antagonist combination, leukotriene
receptor antagonists, and the therapeutic anti-IgE antibody omalizumab.
Her outpatient course was stable.