2025 US guidelines for the management of ACS (STEMI and NSTE-ACS) just released. Insertion of a
microaxial flow pump (Impella) to prevent death in in cardiogenic shock has received a class IIa LOE B-R recommendation. IABP and VA-ECMO are class III for rourine use.
Most of us have to beg & plead for a portable c arm in our ICU, Demetri got one on a truck !!! This is the future. Mobile MCS, hospital affiliations to cannulate (with all devices not just ECMO), expertly put in, managed & explanted. Lots of discussion coming up at #SCAISHOCK22
Are you looking to brush up your knowledge on right heart failure (RHF)?
Look no further than the 2018 AHA Scientific Statement on Evaluation and Management of Right Sided Heart Failure
@NatalieTapaskar (FIT @StanCVFellows) reviews here for the @AHA_AcuteCVCare team
Abiomed is thrilled to announce the first patient in the world has been successfully implanted with Impella Bridge-to-Recovery (BTR) as part of the heart pump’s U.S. FDA Early Feasibility Study. The implant was carried out by @DTPham_CVSurg & @WilcoxHear. https://t.co/YAlt0uvaCF
In the SYNTAX trial, anatomic complete revasc (CR) was more common after CABG than PCI. Compared with CABG+CR, PCI+CR had lower 10-year mortality. Conversely mortality was higher after PCI with incomplete revasc. Must honestly appraise likelihood of CR after PCI when choosing.
Glad to see surgeons adopting the 5.5. When we get a 5L device that is percutaneously delivered through a <16F sheath, AMICS will have a mortality rate <10%!!!
There is really no good data that inotropes/vasopressers help in shock. It may be that we are hurting pts by demanding more from the heart when it suffers a large MI & is failing. Building upon Finke et al work, vasopressors associated with harm in #NCSI independent of CPO.
‘In God we trust. All others bring data’ -WE Deming
Join us on 5/27 3:30 PM EST for the first Cardiogenic Shock Working Group Global Summit. Nine countries represented. Shock Cases presented by @DrAmirKaki@Abraham_Jacob and @nbrozzimd. Free registration https://t.co/vxu7lZI8u0
For folks taking care of shock patients, you won’t want to miss this unique meeting. Tremendous learning opportunities and I promise you, it will be worth your while. #waronshock