Augmenting Function for Infarction from Infection: Impella 2.5 for Ischemic Cardiogenic Shock Complicating Sepsis
Autor: | Anuj Gupta, Semhar Z. Tewelde, Jonathan Ludmir, Michael T. McCurdy, Mukta C. Srivastava, Praveen George, Robert M. Reed |
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Rok vydání: | 2017 |
Předmět: |
Inotrope
lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_specialty business.industry Cardiogenic shock Infarction Case Report 030204 cardiovascular system & hematology medicine.disease Sepsis Coronary artery disease 03 medical and health sciences 0302 clinical medicine lcsh:RC666-701 Internal medicine Shock (circulatory) medicine Cardiology 030212 general & internal medicine Myocardial infarction medicine.symptom Cardiology and Cardiovascular Medicine Intensive care medicine business Impella |
Zdroj: | Case Reports in Cardiology Case Reports in Cardiology, Vol 2017 (2017) |
ISSN: | 2090-6412 2090-6404 |
Popis: | Cardiac dysfunction is a common complication of sepsis in individuals with preexisting coronary disease and portends a poor prognosis when progressing to ischemic cardiogenic shock. In this setting, maximal medical therapy in isolation is often inadequate to maintain cardiac output for patients who are poor candidates for immediate revascularization. Furthermore, the use of vasopressors and inotropes increases myocardial demand and may lead to further injury. Percutaneous ventricular assist devices provide a viable option for management of severe shock with multiorgan failure. The Impella is one of several novel mechanical support systems that can effectively augment cardiac output while reducing myocardial demand and serve as a bridge to recovery from severe hemodynamic compromise. This case report describes the successful utilization of the Impella 2.5 in a patient with baseline profound anemia and coronary artery disease (CAD) presenting in combined distributive and cardiogenic shock associated with a type 2 myocardial infarction complicating sepsis. |
Databáze: | OpenAIRE |
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