2025 and Cardiogenic Shock - Cardiovascular Update

Survivorship After Cardiogenic Shock

Circulation

JANUARY 20, 2025

Circulation, Volume 151, Issue 3 , Page 257-271, January 21, 2025. Advances in critical care therapies for patients with cardiogenic shock (CS), including temporary mechanical circulatory support and multidisciplinary shock teams, have led to improved survival to hospital discharge, ranging from 60% to 70%.

Cardiogenic Shock

Cardiogenic Shock Quality of Life Critical Care Hospital

Patient Characteristics, Management and Long-term Outcomes of Patients with Cardiogenic Shock at a Large Safety Net Hospital

The American Journal of Cardiology

JANUARY 25, 2025

Publication date: Available online 24 January 2025 Source: The American Journal of Cardiology Author(s): Eric J. Hall, Colby R. Ayers, Nicholas S. Hendren, Christopher Clark, Amit Saha, Hadi Beaini, Isabella L. Alexander, Evan P. Gee, Ian R. McConnell, Emily S. Samson, Roslyn J. Saplicki, Christopher S. Grubb, Grant Tucker, Justin L.

Cardiogenic Shock

Cardiogenic Shock Hospital Outcomes

Veno-arterial extracorporeal membrane oxygenation for cardiogenic shock in a Jehovah's Witness patient

The American Journal of Cardiology

MARCH 19, 2025

Publication date: Available online 18 March 2025 Source: The American Journal of Cardiology Author(s): Masashi Azuma, Suyog Mokashi, Mohammed Abul Kashem, Brian O'Murchu, Yoshiya Toyoda, Roh Yanagida

Cardiogenic Shock

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

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Abstract WP294: Racial Disparities among the risk of Stroke and other clinical outcomes post Infective Endocarditis: A Propensity Matched Analysis

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWP294-AWP294, February 1, 2025. Primary outcome was ischemic stroke, while secondary outcomes were all-cause mortality, heart failure, cardiogenic shock, MACE (composite of all-cause mortality, heart failure, and ischemic stroke), and acute kidney injury (AKI).Result:After

Cardiogenic Shock

Cardiogenic Shock Stroke Strokes Outcomes

Even in retrospect, no one could see it.

Dr. Smith's ECG Blog

MARCH 27, 2025

Shes in impella dependent cardiogenic shock w new renal failure. "And they hit the carotid trying to place an Impella, caused a big hematoma where she had precipitous airway occlusion. Just awful all around. Ill check for updates and other ekgs when I log in later today." Post cath ekg here.

Ischemia

Ischemia Chest Pain Cardiogenic Shock Heart Failure

Best of cardiology in 2024 : Check it out and find the winner.

Dr. S. Venkatesan MD

JANUARY 1, 2025

Welcome to 2025 and best wishes for a great academic journey to all readers. 24) Microaxial Flow Pump in Infarct-Related Cardiogenic Shock DanGer Shock (ACC.24) 24) Microaxial Flow Pump in Infarct-Related Cardiogenic Shock DanGer Shock (ACC.24) Thanks to ACC for compiling it.

Cardiogenic Shock

Cardiogenic Shock Plaque Academic Bicuspid/Mitral

Unresponsive and Acidotic: OMI? Acute, subacute, or reperfused? What is the rhythm? Why RV dysfunction? Can CT scan help?

Dr. Smith's ECG Blog

APRIL 6, 2025

Assessment : Cardiology thought this was cardiogenic shock from RV dysfunction. Smith Comment: the RV was very ischemic on the CT scan and dysfunctional on echo, and this does explain the shock. Probable anterior and anterolateral wall hypokinesis. Right ventricular enlargement. Decreased right ventricular systolic performance.

Blood Pressure

Blood Pressure Cardiogenic Shock Ischemia Cardiac Arrest

Can you localize the culprit lesion on angiogram without taking ECG findings into account?

Dr. Smith's ECG Blog

MARCH 25, 2025

A 2017 trial named CULPRIT SHOCK found that in patients with cardiogenic shock, a strategy of culprit vessel PCI only was associated with better outcomes than immediate multivessel PCI. After CULPRIT SHOCK, many shied away from multivessel PCI in the acute setting. In fact, in this elegant study by Heitner et al.

Chest Pain

Chest Pain Ischemia Plaque Stent

Pulmonary edema, with tachycardia and OMI on the ECG -- what is going on?

Dr. Smith's ECG Blog

MARCH 3, 2025

Whenever there is tachycardia, I am skeptical of OMI unless it has led to severely compromised ejection fracction with cardiogenic shock. However, there is also significant tachycardia , with heart rate of 116, and known hypoxia. Or I suspect that there is OMI simultaneous with another pathology.

Tachycardia

Tachycardia Pulmonary Chest Pain Stenosis

Anterior OMI with RBBB has VF x 3: how to prevent further episodes of VF?

Dr. Smith's ECG Blog

APRIL 9, 2025

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 cardiogenic shock (and she did go into shock. I focus my comment on expanding as to why this is so.

Defibrillator

Defibrillator Cardiac Arrest STEMI Myocardial Infarction

One of those ECGs you need to instantly recognize, which learners may struggle with at first

Dr. Smith's ECG Blog

JANUARY 11, 2025

See our other cases with similar patters, to burn this deep into your brain files: Smith : In my experience, these cases of LAD OMI with RBBB and LAFB are either about to arrest, post-arrest, and/or in cardiogenic shock. The ST Elevation is NOT typical. It is ofen downsloping This one is also a wide complex tachycardia.

Chest Pain

Chest Pain Cardiogenic Shock Tachycardia Cardiac Arrest

Would you like to see this ECG without the Right Bundle Branch Block? Would your diagnosis change?

Dr. Smith's ECG Blog

APRIL 16, 2025

Anyone who has seen and studied OMI patients knows that this patient with proximal LAD pattern, with super high risk ischemic RBBB, and tachycardia, is in cardiogenic shock until proven otherwise. This pattern has very high mortality. The Emergency Physician contacted the Cardiologist immediately asking for cath lab activation.

Chest Pain

Chest Pain STEMI Tachycardia Cardiac Arrest

Survivorship After Cardiogenic Shock

Patient Characteristics, Management and Long-term Outcomes of Patients with Cardiogenic Shock at a Large Safety Net Hospital

Veno-arterial extracorporeal membrane oxygenation for cardiogenic shock in a Jehovah's Witness patient

Webinars

Abstract WP294: Racial Disparities among the risk of Stroke and other clinical outcomes post Infective Endocarditis: A Propensity Matched Analysis

Even in retrospect, no one could see it.

Best of cardiology in 2024 : Check it out and find the winner.

Unresponsive and Acidotic: OMI? Acute, subacute, or reperfused? What is the rhythm? Why RV dysfunction? Can CT scan help?

Can you localize the culprit lesion on angiogram without taking ECG findings into account?

Pulmonary edema, with tachycardia and OMI on the ECG -- what is going on?

Anterior OMI with RBBB has VF x 3: how to prevent further episodes of VF?

One of those ECGs you need to instantly recognize, which learners may struggle with at first

Would you like to see this ECG without the Right Bundle Branch Block? Would your diagnosis change?

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