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.