Escalation of Support and Algorithms for Cardiogenic Shock

January 31, 2018

Dr. Mark Anderson joins Dr. Dan Raess to discuss improvements outcomes for patients in cardiogenic shock through the early use of mechanical circulatory support and the development of a shock protocol with the heart team.

Dr. Anderson outlines Hackensack University Medical Center’s multi-disciplinary, heart team approach in treatment decision-making for patients in cardiogenic shock. Cardiac surgeons, interventional cardiologists, heart failure specialists, and intensivists join together to make up the heart team. The team’s immediate first steps are:

  1. Identifying shock
  2. Initiating the heart team discussion
  3. Working down the algorithm

Dr. Anderson also shares his experience developing an algorithm for cardiogenic shock and the important role of hemodynamic monitoring. Once a patient is on mechanical circulatory support, the team at Hackensack University Medical Center uses hemodynamic monitoring to measure cardiac power output, in addition to the values of wedge pressures, CVP, pulmonary artery pressures.

Additionally, Dr. Anderson shares his experience treating patients who need escalation of support. The Hackensack team uses an axillary insertion strategy for patients who need to be escalated to Impella 5.0 support, which can be helpful in making ambulation possible for patients.

Tune in to learn more from Dr. Anderson.

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To learn more about the Impella® platform of heart pumps, including important risk and safety information associated with the use of the devices, please visit: www.protectedpci.com/indications-use-safety-information/

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