Dr. Alexander Truesdell, Interventional Cardiologist at Inova Heart and Vascular Institute discusses his editorial, the War on Shock, published in the Journal of Invasive Cardiology. The editorial compares his experience as a military physician with his experience as a cardiologist treating cardiogenic shock. Watch the video to learn which systems of care Dr. Truesdell suggests … Continue reading “Identifying Cardiogenic Shock Early with a Heart Team Approach”
Category: Cardiogenic Shock
Dr. Susan Joseph, Advanced Heart Failure Specialist from Baylor University Medical Center, discusses perspectives on management of Impella patients in critical care units, particularly the use of invasive hemodynamic monitoring. PA catheters, or right heart catheterization, provide a minute to minute constant source of information about a patient with shock and their filling pressures, pulmonary … Continue reading “Importance of Right Heart Catheterization”
- This retrospective study evaluated observational data of patients receiving either early or delayed initiation of Impella for the management of acute myocardial infarction complicated by cardiogenic shock (AMICS).
- Receiving mechanical circulatory support (MCS) prior to percutaneous coronary intervention (PCI) compared with post-PCI initiation was associated with a higher survival rate to discharge among AMICS patients.
- Overall survival to discharge for the cohort was 44%.
- Additionally, early initiation of MCS at the first signs of shock and before inotropes, vasopressors, and PCI correlated with a higher rate of survival.
A preponderance of evidence from the FDA cVAD Study, Impella Quality Assurance Database and physician-initiated National Cardiogenic Shock Initiative support the recommendation that placing Impella 2.5 or Impella CP pre-PCI improves outcomes.
Dr. Michael Tong, Director of Heart Transplantation; Dr. Edward Soltesz, Surgical Director; and Dr. Shinya Unai, Cardiovascular and Thoracic Surgeon all of the Cleveland Clinic join Dr. Dan Raess to discuss considerations for when ECMO is the right choice and when Impella is the right choice for their patients. Clinicians today have different mechanical circulatory … Continue reading “Considerations for Impella vs. ECMO”
Use this FDA-approved checklist to guide treatment decisions and determine if the Impella RP is right for your patients. IMP-574
Reference: J Am Coll Cardiol 2018; 72:1972-80 Cardiogenic shock continues to be the leading cause of death in patients with acute myocardial infarction (AMI).1 Despite implementation of guideline-recommended early revascularization, mortality rates in AMI complicated by cardiogenic shock (AMICS) remains constant at about 50%. Given that about 60,000 patients with AMI develop CS every year,2 … Continue reading “Improving Survival in Cardiogenic Shock by Adopting a Uniform Approach to Systems of Care”
Dr. Michael Amponsah of Central New York Cardiology/Mohawk Valley Health System shares a case of Impella CP for a non-ischemic cardiomyopathy patient who presented in cardiogenic shock. The patient, a 51 year old male was diagnosed with NYHA Class III non-ischemic systolic heart failure with an ejection fraction of 20% and an ICD. He presented … Continue reading “Dr. Michael Amponsah Cardiogenic Shock Case with Impella CP”
Navin Kapur, MD, executive director of the CardioVascular Center for Research and Innovation at Tufts Medical Center, discusses the results of the FDA STEMI Door-to-Unloading safety and feasibility randomized controlled trial. These results were presented at the American Heart Association Scientific Sessions 2018 in Chicago on Sunday, November 11. What did we learn from this pilot … Continue reading “The Door-to-Unloading (DTU) STEMI Safety & Feasibility Trial”
Dr. Salvatore Mannino, Director of the Short-Term Mechanical Circulatory Support Program at WellStar Health System joins Dr. Seth Bilazarian to discuss how his team has implemented a cardiogenic shock protocol that has shown to improve patient outcomes. Part of the protocol includes the following best practices: Safe femoral practices for large bore access Pre-PCI hemodynamic … Continue reading “Best Practice Protocols for Cardiogenic Shock Showing Improved Outcomes Within the WellStar System”