Case Review, Patient Management, AMI Cardiogenic Shock, Right Heart Failure

Left- and Right-Side Impella® Support in Cardiogenic Shock


Michael McDaniel, MD, of Emory School of Medicine and Rajesh Sachdeva, MD, of Morehouse School of Medicine present a case review of a 54-year-old patient in cardiogenic shock with comorbidities, including hypertension, who was treated with both left and right side Impella heart pumps. In the cath lab, an occlusion of the proximal LAD was found. Physicians implanted stents and after 14 minutes in the cath lab, the patient’s blood pressure increased and an Impella CP® was placed for hemodynamic support. The team placed a right heart catheter to monitor hemodynamics and diagnose the persistent hypotension. Additionally, the team calculated the PAPi score and found that the patient was in RV failure and an Impella RP® was placed. Tune in to hear more about this case.



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