Remove Cardiac Arrest Remove Cardiogenic Shock Remove Pulmonary
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Successful pharmaco-invasive approach using a lower alteplase dose and VA-ECMO support in high-risk pulmonary embolism: case report

Frontiers in Cardiovascular Medicine

Despite the elevated mortality rates associated with high-risk pulmonary embolism (PE), this condition remains understudied. Data regarding the effectiveness and safety of invasive therapies such as venoarterial extracorporeal membrane oxygenation (VA-ECMO) in this patient population remains controversial.

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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

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. Of 789 patients included, 31.6%

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Gender disparities in patients undergoing extracorporeal cardiopulmonary resuscitation

Frontiers in Cardiovascular Medicine

Introduction The use of venoarterial extracorporeal membrane oxygenation (VA-ECMO) in extracorporeal cardiopulmonary resuscitation (eCPR) has emerged as a treatment option for selected patients who are experiencing refractory cardiac arrest (CA).

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Extreme shock and cardiac arrest in COVID patient

Dr. Smith's ECG Blog

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 cardiogenic shock. and the patient was converted to veno-venous (V-V) ECMO due to persistent pulmonary insufficiency. Clinically — the patient was felt to be in cardiogenic shock.

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Two patients with chest pain and RBBB: do either have occlusion MI?

Dr. Smith's ECG Blog

Smith comment: before reading anything else, this case screamed pulmonary embolism to me. I would do bedside ultrasound to look at the RV, look for B lines as a cause of hypoxia (which would support OMI, and argue against PE), and if any doubt persists, a rapid CT pulmonary angiogram. There is sinus tachycardia at ~100/minute.

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Transfer to Hub Hospitals and Outcomes in Cardiogenic Shock

Circulation: Heart Failure

BACKGROUND:There are limited large-scale data on the outcomes of patients with cardiogenic shock (CS) transferred to hub centers. During the hospitalization, they had higher rates of renal failure, pulmonary artery catheter use, and mechanical circulatory support use. Circulation: Heart Failure, Ahead of Print.