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To uncover the weekend effects impact on TAVR , researchers analyzed over 82k TAVR hospitalizations between 2013 and 2021 and revealed that weekend patients faced a 45% higher risk of in-hospital mortality compared to weekday admissions.
Cardiogenicshock (CS)is the most feared event following STEMI. Non-STEMI vs. STEMI CardiogenicShock: Clinical Profile and Long-Term Outcomes. 2013 Nov;6(6):708-15. Epub 2013 Nov 12. The incidence is up to 5 to 10% with a mortality rate of around 50-60%. There is one less addressed issue in ACS literature.
Background:Venoarterial-extracorporeal membrane oxygenation (VA-ECMO) is used to treat cardiogenicshock. Conclusion:An LV support device may be associated with reduced mortality and increased success in weaning off VA-ECMO in patients with cardiogenicshock. to 1.36) but not in VA-ECMO with IABP (1.80
Authors' commentary: Cardiogenicshock in the setting of severe aortic stenosis. This patient’s severe aortic stenosis (AS) and associated severe cardiogenicshock likely created the ECG pattern, resulting in a very difficult challenge for our inpatient team. If you can use Doppler, then you can diagnose it. Circulation.
7) The 2013 ACC/AHA STEMI guidelines consider this a “STEMI equivalent,” where thrombolytic therapy is not contraindicated (Evidence level B, no specific class of recommendation).(16) TIMI flow 0) is rare in the ED, as most either die before arrival or are recognized clinically due to cardiogenicshock.
Impella (cardiac output augmentation device) placed for cardiogenicshock Unfortunately, the patient progressed to multiorgan failure with worsening cardiac output despite being maxed on pressors and a balloon pump. He expired 4 days later. Interestingly, this patient was seen in the ED for hypertension and headache 3 days earlier.
An elderly man with sudden cardiogenicshock, diffuse ST depressions, and STE in aVR Literature 1. Can J of Cardiol 2018, 34: 132-145 Here are some other cases: LVH, LBBB, RBBB, and RVH may manifest ST depression without any ischemia! 2 cases of Aortic Stenosis: Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease?
1) as far as I can tell, there is very little data on amiodarone for this indication 2) amiodarone has beta blockade effects which could be deleterious in a patient with large anterior MI with pulmonary edema and at risk for cardiogenicshock (and she did go into shock.
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