Blood Pressure, Cardiogenic Shock and Hospital

Windtree’s Istaroxime Scores in Cardiogenic Shock Trial

CardiacWire

SEPTEMBER 25, 2024

Windtree Therapeutics’ istaroxime appears to have scored in its latest Phase 2b trial , showing that the steroidal drug significantly improves systolic blood pressure in cardiogenic shock patients. That could be a big deal in the cardiogenic shock space, which many believe is still in need of more effective treatments.

Cardiogenic Shock

Cardiogenic Shock Blood Pressure Heart Failure Cardiac Function

Prediction of In?Hospital Mortality for Ischemic Cardiogenic Shock Requiring Venoarterial Extracorporeal Membrane Oxygenation

Journal of the American Heart Association

FEBRUARY 16, 2024

BackgroundClinical outcome of ischemic cardiogenic shock (CS) requiring extracorporeal membrane oxygenation is highly variable, necessitating appropriate assessment of prognosis. Fifteen parameters were selected to assess in‐hospital mortality. Among 322 patients, 138 (42.9%) survived postdischarge.

Cardiogenic Shock

Cardiogenic Shock Hospital Myocardial Infarction Kidney Disease

Early Utilization of Mechanical Circulatory Support in Acute Myocardial Infarction Complicated by Cardiogenic Shock: The National Cardiogenic Shock Initiative

Journal of the American Heart Association

NOVEMBER 28, 2023

BackgroundAcute myocardial infarction complicated by cardiogenic shock (AMI‐CS) is associated with significant morbidity and mortality. The primary end point was in‐hospital mortality. Patients presented with a mean systolic blood pressure of 77.2±19.2 mm Hg, Survival rates to hospital discharge were high.

Cardiogenic Shock

Cardiogenic Shock Myocardial Infarction Blood Pressure Cardiac Arrest

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

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Magenta Medical, Developer of World’s Smallest Heart Pump, Closes $105M Financing Round

DAIC

JULY 29, 2024

It encompasses devices designed to mechanically unload the failing heart and augment cardiac output in the setting of dangerously low blood pressure, providing a bridge to recovery over a period of hours to days. FDA for two clinical indications: high-risk percutaneous coronary intervention (HR-PCI) and cardiogenic shock (CS).

Cardiogenic Shock

Cardiogenic Shock Blood Pressure Technology Aortic valve

Hemodynamic Characteristics and Prognostic Implication of Modified Society for Cardiovascular Angiography and Interventions Shock Classification in Comatose Patients With Out‐of‐Hospital Cardiac Arrest

Journal of the American Heart Association

DECEMBER 20, 2024

BackgroundCardiogenic shock complicating acute myocardial infarction is associated with a high mortality rate. Cardiogenic shock after outofhospital cardiac arrest (OHCA) can be due to transient myocardial stunning but also reflect the increasing severity of ongoing heart failure.

Cardiac Arrest

Cardiac Arrest Cardiogenic Shock Hospital Myocardial Infarction

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

The initial blood pressure was 80/palp with a heart rate of 104, respirations 20, oxygen saturations of 94% and a finger stick blood glucose of 268. In addition, the patient received 750 mL of fluid resuscitation with transient improvement of blood pressure. If you can use Doppler, then you can diagnose it.

Ischemia

Ischemia Cardiogenic Shock Aortic Stenosis

How Virtual-First Cardiology is Reshaping the Patient Experience

The Beat Blog

APRIL 8, 2022

I looked down at the reason for the visit: “blood pressure check.” For the sickest of cardiac patients, those who are leaving the hospital with advanced heart failure or who just had a heart attack, Virtual-First cardiology enables frequent virtual visits driven by AI-driven algorithms which identify the most pressing risks.

Cardiogenic Shock

Cardiogenic Shock Blood Pressure Heart Attack Heart attacks

See what happens when a left main thrombus evolves from subtotal occlusion to total occlusion.

Dr. Smith's ECG Blog

OCTOBER 20, 2024

Figure B At this point, with the ECG changing from diffuse ST depression to widespread ST elevation and the patient presenting in cardiogenic shock, left main coronary artery (LMCA) occlusion is the likely diagnosis. The arterial blood gas showed a lactic acidosis with a lactate level of 17mmol/L. This is an ominous sign.

Cardiogenic Shock

Cardiogenic Shock Ischemia Chest Pain Cardiac Arrest

Sudden shock with a Nasty looking ECG. What is it?

Dr. Smith's ECG Blog

MAY 3, 2024

In fact, most do not make it to the hospital alive, which explains why only a tiny percent of OMI are due to full LM occlusion. The Queen of Hearts gets it right here: Register for access to Queen of Hearts here The interventionalist stated that he could not do the procedure while the patient has a blood pressure of 45 systolic.

Cardiogenic Shock

Cardiogenic Shock Cardiac Arrest Hospital Ischemia

Heart Pump Improves Survival After Severe Heart Attacks

DAIC

APRIL 8, 2024

milla1cf Mon, 04/08/2024 - 18:07 April 8, 2024 — Implantation of the Impella CP micro-axial flow pump in the hours after a heart attack significantly increased the rate of survival at six months among people suffering cardiogenic shock, according to a study presented at the American College of Cardiology ’s Annual Scientific Session.

Heart Attack

Heart Attack Heart attacks Cardiogenic Shock Catheterization Laboratory

What are treatment options for this rhythm, when all else fails?

Dr. Smith's ECG Blog

JULY 21, 2024

Immediately after contrast injection into the LMCA, the patient had circulatory collapse, with a precipitous drop in blood pressure. An Impella device was placed to maintain cardiac output and perfusion pressures. The patient was extubated on Day-3 of the hospital stay. Epinephrine infusion was begun.

Arrhythmia

Arrhythmia Cardiogenic Shock Bradycardia Defibrillator

A 40-Something male with a "Seizure," Hypotension, and Bradycardia

Dr. Smith's ECG Blog

OCTOBER 7, 2019

Why is the patient in shock? He was in profound cardiogenic shock. The patient never arrested during his time at the hospital and his prognosis is good. There is an obvious inferior STEMI, but what else? Besides the obvious inferior STEMI, there is across the precordial leads also, especially in V1. Learning Points : 1.

Bradycardia

Bradycardia Cardiogenic Shock STEMI Ischemia

The First 60 Minutes of a Heart Attack: The Golden Hour

Wellnest

JULY 19, 2023

However, recent studies have observed that people below 40 are also experiencing heart attacks due to high blood pressure, cholesterol, diabetes, smoking, obesity, a sedentary lifestyle, and social and mental stress. Suppose there is a delay in reaching a cardiac cath-lab-equipped hospital.

Heart Attack

Heart Attack Heart attacks Blood Pressure Myocardial Infarction

Published Research

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Institutional Coronary Artery Bypass Case Volumes and Outcomes European Journal of Heart Failure October 2023 Makoto Mori Robotic Mitral Valve Repair for Degenerative Mitral Regurgitation The Annals of Thoracic Surgery August 2023 Carlos Diaz-Castrillion Volume-Failure to Rescue Relationship in Acute Type A Aortic Dissections: An Analysis of The Society (..)

Research

Research Coronary Artery Bypass Graft Aortic valve Congenital

Published Research

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Institutional Coronary Artery Bypass Case Volumes and Outcomes European Journal of Heart Failure October 2023 Makoto Mori 1 Robotic Mitral Valve Repair for Degenerative Mitral Regurgitation The Annals of Thoracic Surgery August 2023 Carlos Diaz-Castrillion 2 Volume-Failure to Rescue Relationship in Acute Type A Aortic Dissections: An Analysis of The (..)

Research

Research Coronary Artery Bypass Graft Aortic valve Congenital

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

Dr. Smith's ECG Blog

MARCH 3, 2025

Her blood pressure on arrival was 153/69. Whenever there is tachycardia, I am skeptical of OMI unless it has led to severely compromised ejection fracction with cardiogenic shock. Cardiology services were consulted at a PCI capable hospital. She arrived to the ED with a nonrebreather mask. She was started on lasix.

Tachycardia

Tachycardia Pulmonary Chest Pain Stenosis

Cardiovascular Update

Windtree’s Istaroxime Scores in Cardiogenic Shock Trial

Prediction of In?Hospital Mortality for Ischemic Cardiogenic Shock Requiring Venoarterial Extracorporeal Membrane Oxygenation

Early Utilization of Mechanical Circulatory Support in Acute Myocardial Infarction Complicated by Cardiogenic Shock: The National Cardiogenic Shock Initiative

Webinars

Magenta Medical, Developer of World’s Smallest Heart Pump, Closes $105M Financing Round

Hemodynamic Characteristics and Prognostic Implication of Modified Society for Cardiovascular Angiography and Interventions Shock Classification in Comatose Patients With Out‐of‐Hospital Cardiac Arrest

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

How Virtual-First Cardiology is Reshaping the Patient Experience

See what happens when a left main thrombus evolves from subtotal occlusion to total occlusion.

Sudden shock with a Nasty looking ECG. What is it?

Heart Pump Improves Survival After Severe Heart Attacks

What are treatment options for this rhythm, when all else fails?

A 40-Something male with a "Seizure," Hypotension, and Bradycardia

The First 60 Minutes of a Heart Attack: The Golden Hour

Published Research

Published Research

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

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