Shock
Define Shock
What is a life-threatening condition characterized by inadequate tissue perfusion, leading to cellular hypoxia and organ failure
Device that controls blood flow from your heart, deflates when your heart pumps blood out and inflates when heart is resting
Intra-Aortic Balloon Pump
Spectrum of clinical conditions caused by sudden rupture of an atherosclerotic plaque with thrombosis
Acute Coronary Syndrome
Waking up suddenly at night, gasping for air
What is orthopnea
Shared decision making for symptom management, end of life care
What is Palliative Medicine
Four Different Types of Shock
What is: Hypovolemic, Cardiogenic, Obstructive and Distributive Shock
The device that is inserted via a catheter into the femoral artery and advanced into the left ventricle
Impella
Arrythmias
Heart Failure
Cardiogenic Shock
Mechanical Complications
Pericarditis
Reccurrent Ischemia
Complications post ACS
Linked to hypertension, obesity and atrial fibrillation with limited specific therapies and EF >40%
What is HFpEF
This device oxygenates and removes carbon dioxide from the blood
Hemodynamic parameters of Cardiogenic Shock
What is Low CO with high SVR
MCS device that does not require synchronization with the heart's cycle
Impella
(actively pumps blood from LV to ascending aorta, reducing the heart's workload and improving systemic circulation)
Hypertension, Diabetes, Smoking, Dyslipidemia, Obesity, Family History of premature CAD, sedentary lifestyle and advanced age
Primary Risk Factors for ACS
A diagnostic procedure for patients undergoing tranplant/LVAD workup, have unclear volume status, pulmonary hypertension or worsening renal function despite therapy
What is Right Heart Catheterization
Absolute contraindication to ECMO is this irreversible condition
Severe neurological injury
Clinical presentation of Cardiogenic Shock
What is Hypotension, Tachycardia, Cool/Clammy Extremities, Oliguriea, Altered Mental Status, Pulmonary Edema, Elevated JVP
Provides up to 5.5 L/Min of CO
Surgical Access
Allows for ambulation and PT with axillary placement
Minimizes myocardial oxygen demand by reducing LV workload
Impella 5.5
ASA + P2Y12 inhibitor
DAPT
Used for cardiogenic shock, low-output state, or as bridge to transplant/LVAD
IV Inotrope
Most common compliation of ECMO
What is bleeding
Device that can be placed to assess hemodynamics in a shock patient?
What is a Pulmonary Artery Catheter or Swan Gans
Complication of VA ECMO when oxygenated blood being returned from the ECMO circuit mixes with the deoxygenated blood being ejected from the heart
Harlequin/North-South Syndrome
If performed within 90-120 minutes, this is the first line treatment for STEMI
Percutaneous Coronary Intervention (PCI)
EF <35%, LBBB, QRS >150ms, NYHA Class II-IV despite optimal therapy
What is Indications for CRT
What is placing Impella or IABP