Contraindicative, My Dear Watson
This condition, commonly treated with TAVR, is a severe tightening of the valve between the left ventricle and the aorta
What is severe aortic stenosis? (<0.6 mm2)
This alarm is most often triggered due to low volume status
What is suction?
This is the ideal technique used for femoral access to decrease risk of vascular complications
What is micropuncture and ultrasound?
This is the normal range for left ventricular end diastolic pressure (LVEDP)
What is 5-12 mmHg?
These medications increase contractility and should be weaned as tolerated in patients with cardiogenic shock
What are inotropes?
This is a structural complication associated with an MI, characterized by a rupture of the intraventricular septum
What is a ventricular septal defect (VSD)?
This is the amount of time that the Impella console will run on battery backup
What is 1 hour?
This lab value is used to evaluate the anti coagulation level for patients on Impella support
What is activated clotting time (ACT)?
This is calculated as the difference between a patient's MAP and the LVEDP
What is coronary perfusion pressure?
This is the historic mortality rate for patients with AMI/CS
What is 50%?
This can form in the left ventricle with severely lowered EF and/or apical hypokinesis
What is LV mural thrombus?
This waveform will be pulsatile when the device is in the proper position
What is Motor Current (green wavefrom)?
This is the recommended therapeutic anti coagulation lab value range for patients on Impella support
What is an ACT range of 160-180?
What is decreases?
This novel hemodynamic is calculated MAP x CO x 0.0022, and the goal is to be above 0.7
What is cardiac power output (CPO)?
These are inserted by a vascular surgeon for patients that have severe peripheral vascular disease to improve blood flow to the lower extremities
What are aortofemoral bypass grafts?
This waveform should mimic your aortic blood pressure reading from the arterial line
What is placement signal?
This is the recommended purge solution and concentration for Impella
What is D5 in water with 25 u/ml Heparin?
This comprises 2/3 of the cardiac cycle and in patients not on Impella support, accounts for 0 LPM of cardiac output
What is diastole?
This is the time compared to PCI that is associated with higher survival when placing Impella in cardiogenic shock
What is prior to PCI?
This number, also the age most children begin kindergarten, is the minimum size vessel recommended for an Impella sheath
What is 5-6 mm?
This is the performance level that one should not go below as long as the device is in the left ventricle
What is P2?
This is the angle of insertion that should be attained for initial access
What is 30-45 degrees?
This is the target CVP for patients on Impella support
What is CVP of 10?
This lab value is a marker of anaerobic metabolism and is associated with higher mortality when it remains above 4
What is lactic acid?