Hemodynamics & MCS: Real-World STEMI Shock Case

In this engaging CardioNerds Rounds episode, Dr. Karan Desai and hemodynamics expert Dr. Daniel Burkhoff dissect a complex ST-segment elevation myocardial infarction (STEMI) case in a middle-aged man who presents in cardiogenic shock—chest pain, tachycardia, hypotension, and inferior ST-segment elevations leading to right coronary artery (RCA) percutaneous coronary intervention (PCI). They explore how pressure-volume loop analysis illuminates the nuances of ventricular function in shock and discuss decision-making around mechanical circulatory support—from intra-aortic balloon pump (IABP) to Impella and venoarterial extracorporeal membrane oxygenation (VA‑ECMO)—grounded in physiology and real-time hemodynamic monitoring. Dr. Burkhoff also highlights his simulation tool as a method to teach and optimize mechanical circulatory support (MCS) strategies, offering listeners a deep dive into the mechanics behind life-saving devices.

This podcast originally appeared on The CardioNerds.