Tag: Dr. Alexander Truesdell


Alexander Truesdell Presents a Case on Cardiomyopathy with Impella Support

Alexander Truesdell, MD, of Inova Heart and Vascular Institute, discusses a case of ischemic cardiomyopathy involving a 70 year old male presenting with diabetes, multi-vessel CAD, LV systolic dysfunction and chronic systolic heart failure. The Inova heart team started with a multi-disciplinary consultation using a Protected PCI algorithm to determine the appropriate treatment option for … Continue reading “Alexander Truesdell Presents a Case on Cardiomyopathy with Impella Support”

Cardiogenic Shock Due to Severe Multi-Vessel Disease

Dr. Alexander Truesdell, Interventional Cardiologist from Inova Heart & Vascular Institute, presents a case of cardiogenic shock, involving a 69 year old patient with severe multi-vessel disease and co-morbidities, EF between 10 and 15% and a severely depressed cardiac index. Prior to proceeding with PCI, the Impella CP was implanted to provide hemodynamic support. Once … Continue reading “Cardiogenic Shock Due to Severe Multi-Vessel Disease”

Heart Team Approach to Treating Cardiogenic Shock

Dr. Alexander Truesdell of INOVA Heart and Vascular Institute compares his experience in combat medicine and combat medical care to the cardiogenic shock scenario. Best practices based on the team’s real-world experience treating cardiogenic shock include: One-call system for shock call Multidisciplinary team including cardiac surgeons, interventional cardiologists and heart failure specialists Rapid, collaborative decision-making … Continue reading “Heart Team Approach to Treating Cardiogenic Shock”

Identifying Cardiogenic Shock Early with a Heart Team Approach

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”

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

From Heart Failure, NSTEMI and Shock to Recovery

Virginia Heart’s Dr. Alexander Truesdell discusses a case of Protected PCI support for a 65 year old patient with heart failure, NSTEMI and cardiogenic shock. The case highlights the need for effective multi-disciplinary consultation to streamline the process of patient identification, diagnosis and intervention. Tweet this, subscribe or find an Impella training course near you.