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Ventilatory modalities in cardiogenicshock: insights from the AltShock-2 registry. Aims To describe the use and the relation to outcome of different ventilation strategies in a contemporary, large, prospective registry of cardiogenicshock patients. All-cause mortality at 24h did not differ amongst the three groups.
Impella and venoarterial extracorporeal membrane oxygenation (VA-ECMO) in patients with acute myocardial infarction-related cardiogenicshock (AMICS). Impella patients were older (34% vs. 13% >75 years, p < 0.001) and less frequently presented after an out-of-hospital cardiacarrest (18% vs. 40%, p < 0.001).
About 45 minutes after the second EKG, the patient was found in cardiacarrest. A temporary pacemaker was implanted, and she was admitted to the ICU with cardiogenicshock. Later the next day, she went into cardiacarrest again. By the time I saw the repeat EKG, the patient was already in cardiacarrest.
Predictors of weaning failure from veno-arterial extracorporeal membrane oxygenation (VA-ECMO) in patients with cardiogenicshock. The cause of CS was acute myocardial infarction in 438 (63.9%) patients, and 431 (62.9%) patients presented with cardiacarrest. RRT, renal replacement therapy. interquartile range 4.112.7]
Lactate was 20, POC Cardiac US showed EF estimated at 30%, and formal echo showed EF of only 15%, and a normal RV. Assessment was severe sudden cardiogenicshock. Clinically — the patient was felt to be in cardiogenicshock. They recorded an EC G: New ST Elevation. What is it? There is STE in V2-V6.
Aims Among patients with cardiogenicshock, immediate initiation of extracorporeal membrane oxygenation (ECMO) did not demonstrate any benefit at 30days. The present study evaluated 1-year clinical outcomes of the Extracorporeal Membrane Oxygenation in the therapy of CardiogenicShock (ECMO-CS) trial.
The patient in today’s case presented in cardiogenicshock from proximal LAD occlusion, in conjunction with a subtotally stenosed LMCA. baseline (this is what most recommend but seems like far too much QRS widening to me) = See these articles and this graphic: 1. LAD — 100% proximal occlusion; with 70-89% mid-vessel narrowing.
Risk prediction for cardiogenicshock patients with Impella. Abstract Aims Impella has become a new option for mechanical circulatory support in patients with cardiogenicshock (CS); however, prognostic models for patients after Impella are lacking.
We showed this in this article in JAMA Cardiology. 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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