Information for healthcare professionals
Guidelines for Identifying and Managing AMI Cardiogenic Shock This video reviews cardiogenic shock guidelines and best practices for identifying, stabilizing, revascularizing, and reassessing high-risk cardiogenic shock patients. Cathy Axberg, an advanced Impella® Trainer with Abiomed, presents these guidelines as part of an ongoing educational effort to help hospitals, physicians, and clinical staff provide individualized patient … Continue reading “Cardiogenic Shock Best Practices”
Improving Hemodynamics and the Total Metabolic Milieu Dr. Dimitri Karmpaliotis discusses the challenges of treating acute coronary syndromes in the COVID-19 era and presents a case of a COVID-positive patient with acute inferior STEMI managed with Impella RP®. Dr. Karmpaliotis is an associate professor of medicine and director of CTO, complex and high-risk angioplasty at … Continue reading “Impella RP® Treatment for a COVID-19 Patient in Cardiogenic Shock”
MCS and Volume Considerations in the ICU How do you assess and manage volume in cardiogenic shock patients in the ICU? Dr. Shelley Hall and Dr. Ajay Srivastava describe the hows and whys with Abiomed’s medical director Dr. Cathy Jeon. Dr. Hall is an advanced heart failure cardiologist at Baylor Heart & Vascular Hospital in … Continue reading “Volume Management in Cardiogenic Shock Patients”
Escalation Strategies that Increase Unloading Mark Anderson, MD, discusses how cardiac surgery may be able to help move the dial closer to the ≥80% survival to discharge quality measure in the National Cardiogenic Shock Initiative (NCSI). Dr. Anderson is chair of the division of cardiothoracic surgery at Hackensack Meridian Health and professor of surgery at … Continue reading “Increasing Survival in Cardiogenic Shock through Escalation”
Recovery from STEMI-to-Shock Downward Spiral Alexander Truesdell, MD, presents a case of a 61-year-old male who presented with acute anterior STEMI. With heart rate in the 80s and blood pressure 120s, this patient was not clinically meeting any criteria for cardiogenic shock when transferred to the cath lab. The patient had multivessel occlusion and received … Continue reading “Cardiogenic Shock Heart Recovery Case Study”
Developing Best Practices with Dr. Bill O’Neill “What are the foundations for developing best practices in managing acute MI cardiogenic shock?” asks Dr. Bill O’Neill as he begins this presentation of data and the ways in which high-performing institutions are improving survival in patients with AMI cardiogenic shock. “If you’re going to be using Impella®, … Continue reading “Managing Acute MI Cardiogenic Shock”
Is Multivessel PCI with Impella Support Safe in Cardiogenic Shock? Alejandro Lemor, MD, MS, discusses multivessel PCI versus culprit vessel PCI in patients with cardiogenic shock from the National Cardiogenic Shock Initiative (NCSI). He presented this data at TCT 2019 in San Francisco. Dr. Lemor is a cardiology fellow at Henry Ford Hospital in Detroit. … Continue reading “Multivessel Versus Culprit Vessel PCI”
Cardiogenic Shock Protocol Compliance Associated with Survival Joseph Parrillo, MD, discusses implementation of a cardiogenic shock committee and cardiogenic shock protocols at Hackensack University Medical Center, where he is chairman of the Heart and Vascular Hospital. “About 3 years ago, we noticed that there was great variability in the management of cardiogenic shock at Hackensack … Continue reading “Implementing Cardiogenic Shock Protocols”
Successful Impella® Support Prior to Complete Revascularization Dr. James Park presents his first NCSI enrollee—a patient with cardiogenic shock with prolonged resuscitation and multiple shocks—in whom he initiated Impella® support prior to revascularization. In addition to presenting this good heart recovery story, Dr. Park shares how his center is striving to improve the quality of … Continue reading “Cardiogenic Shock Heart Recovery Case Study”
Successful Revascularization in Very Late Stent Thrombosis Case Dr. Sagar Mallikethi Reddy discusses Impella use in a STEMI patient with very late stent thrombosis, incessant ventricular tachycardia (VT), and a very high LVEDP. This case also highlights a conservative approach to ensure closure post-procedure in an acute patient. Dr. Reddy is an interventional cardiologist at McLaren … Continue reading “Impella Use in STEMI Patient”
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