Category: Practice


Establishing A Heart Recovery Center

A Significant Step in Managing Cardiogenic Shock Dr. Hiram Bezerra discusses the first heart recovery center in his region, which will advance efforts to manage cardiogenic shock. Dr. Bezerra is the director of advanced coronary intervention and mechanical circulatory support at University Hospital Harrington Heart & Vascular Institute in Cleveland, Ohio. Dr. Bezerra explains that … Continue reading “Establishing A Heart Recovery Center”

High-Risk PCI with Impella 2.5

Dr. Muhammad Chaudhry of Aultman Hospital, Ohio, presents an emergent high-risk PCI case involving a 95% left main blockage along with a 80-90% blockage in the RCA and 100% distal RCA occlusion. The patient began experiencing severe chest pain and was evaluated for surgery. Shortly after, the patient went into asystole and CPR was initiated. … Continue reading “High-Risk PCI with Impella 2.5”

Managing Shock at the “Battlefront” of Surgery

Key Takeaways

  • Dr. Alexander Truesdell of the INOVA Heart and Vascular Institute discusses how physicians can apply the same shock management principles found on the battlefront into everyday surgical practice.
  • Early recognition of shock and early revascularization are two essential elements of successful treatment for shock on the battlefield as well as in conventional care centers.
For the past few decades, early revascularization has been considered the cornerstone of treatment for cardiogenic shock (CS). Despite widespread adoption and implementation of this management strategy, rates of mortality following interventional cardiology procedures for CS remain high.Dr. Alexander Truesdell of the INOVA Heart and Vascular Institute mentions in his editorial War on Shock that the method for treating CS requires a more aggressive, combat-like approach, embracing strategies he learned while serving as an interventional cardiologist in Iraq and Afghanistan.1 “Only with strong leadership, teamwork, and a national commitment to a joint integrated countrywide network of cardiogenic shock care, research, and innovation,” said Truesdell, “can we hope to achieve our desired goal of zero preventable death from cardiogenic shock.” Continue readingManaging Shock at the “Battlefront” of Surgery

Dr. Thorsten Siess, Abiomed’s CTO and Inventor of Impella® Shares his Insights on the Impella® Platform of Devices

Dr. Thorsten Siess, Abiomed’s Chief Technology Officer and inventor of Impella® discusses how the world’s smallest heart pump transformed from a product to a platform. Listen in to learn how the Abiomed team is developing new features to satisfy the clinician community’s needs. What new features are being developed by Dr. Siess now? Press play … Continue reading “Dr. Thorsten Siess, Abiomed’s CTO and Inventor of Impella® Shares his Insights on the Impella® Platform of Devices”

The Association Between Obesity and In-Hospital Mortality in Patients with Cardiogenic Shock Complicating Acute Myocardial Infarction

Key Takeaways

  • Obesity is paradoxically associated with favorable mortality outcomes in acute myocardial infarction (AMI).
  • Association between obesity and in-hospital mortality among patients with cardiogenic shock (CS) complicating AMI (N=290,894) was retrospectively studied.
  • Obese patients had lower in-hospital mortality compared with nonobese patients (28.2% vs 36.5%, respectively), but key baseline differences in the obese group may explain this association.
More than one-third of the adult population in the United States (35.7%) are considered clinically obese.1 The increasing prevalence of obesity has become difficult to ignore as research continues to support the association of obesity--defined as a body mass index of 30 or greater--with poor cardiovascular health.Despite obesity having a direct link to known cardiovascular risk factors, including diabetes, hypertension, and hypercholesterolemia, previous research has shown a paradoxical protective association between obesity and established cardiovascular disease.2 This “obesity paradox” states that patients with obesity may have better outcomes following a cardiovascular event when compared with nonobese patients. Continue readingThe Association Between Obesity and In-Hospital Mortality in Patients with Cardiogenic Shock Complicating Acute Myocardial Infarction

Dr. Jason Wollmuth: Case Review of Complete Revascularization for a Patient in Cardiogenic Shock with Severe Multi-Vessel Disease

Dr. Jason Wollmuth presents a complex case of a patient in cardiogenic shock with severe multi-vessel disease. He feels that placing the Impella® heart pump made the procedure safer, and led to a more complete revascularization. Dr. Wollmuth also used a heart team decision-making approach. The patient is now walking up to a mile a … Continue reading “Dr. Jason Wollmuth: Case Review of Complete Revascularization for a Patient in Cardiogenic Shock with Severe Multi-Vessel Disease”

Difficult Decisions: Case Review with Dr. Siby Ayalloore, of Cardiovascular Institute of the South

Dr. Siby Ayalloore presents a compelling case of decision-making for a very functional 90 year old patient with left main disease including mid-LAD disease and proximal circ disease. As a heart failure physician, he collaborated with surgeons and interventionalists. This heart team approach led to the decision to perform a successful high-risk PCI. Tweet this, … Continue reading “Difficult Decisions: Case Review with Dr. Siby Ayalloore, of Cardiovascular Institute of the South”