Acute Triple Coronary Artery Occlusion Leading to Cardiogenic Shock and Cardiac Arrest Emphasizing the Role of Mechanical Circulatory Support (Escalate before It's Too Late).

Autor: Abdelghani MS; Department of Cardiology, Heart Hospital, Hamad Medical Corporation, Doha, Qatar., Al-Termanini M; Department of Cardiology, Heart Hospital, Hamad Medical Corporation, Doha, Qatar., Shehadeh M; Department of Cardiology, Heart Hospital, Hamad Medical Corporation, Doha, Qatar., Baroudy G; Department of Cardiology, Heart Hospital, Hamad Medical Corporation, Doha, Qatar., Al Suwaidi J; Department of Cardiology, Heart Hospital, Hamad Medical Corporation, Doha, Qatar., Arabi A; Department of Cardiology, Heart Hospital, Hamad Medical Corporation, Doha, Qatar.
Jazyk: angličtina
Zdroj: Heart views : the official journal of the Gulf Heart Association [Heart Views] 2024 Jan-Mar; Vol. 25 (1), pp. 30-34. Date of Electronic Publication: 2024 Apr 12.
DOI: 10.4103/heartviews.heartviews_39_23
Abstrakt: We report a case of cardiac arrest in a 38-year-old male with no past medical history who presented as a case of ST-segment elevation myocardial infarction, and coronary angiography showed triple coronary artery thrombosis complicated with cardiogenic shock (CS) that warrants starting on inotropic support and insertion of intra-aortic balloon pump. CS diagnosis with a high likelihood of deterioration was established based on hemodynamics assessment; hence, an early prompt decision for escalation of mechanical circulatory support to Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) was made, which helped to prevent the patient's further deterioration and organ damage. The patient had uneventful VA-ECMO decannulation and was transferred to the ward and discharged after 28 days in stable condition on oral medical therapy and was following up regularly in the cardiology clinic. Therefore, early hemodynamics assessment in acute myocardial infarction CS cases will help predict rapid worsening, which may require prompt escalation of mechanical circulatory support and perhaps improve the outcome.
Competing Interests: There are no conflicts of interest.
(Copyright: © 2024 Heart Views.)
Databáze: MEDLINE
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