Why the study?
Does Impella 2.5 support improve hemodynamics in a patient with cardiogenic shock due to dynamic LVOT obstruction post-MI?
Does Impella 2.5 support improve hemodynamics in a patient with cardiogenic shock due to dynamic LVOT obstruction post-MI?
Impella 2.5 may provide effective circulatory support and stabilization in patients with cardiogenic shock complicated by dynamic LVOT obstruction post-MI, where inotropes and IABP may be detrimental.
May support Impella in post-MI cardiogenic shock with LVOT obstruction; hypothesis-generating and requires prospective validation.
Dynamic left ventricular outflow tract obstruction is a rare cause of cardiogenic shock after an acute myocardial infarction. A case is presented where inotropic support and an intra-aortic balloon pump aggravated the cardiac hemodynamics by this mechanism. The circulatory support provided by Impella 2.5 heart pump, in addition to discontinuation of inotropic support and intra-aortic balloon pump, allowed stabilization and successful percutaneous revascularization.
No takes yet. Share an insight, caveat, or question.
Dhar et al. (2009) studied this question.
Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context: