LV Unloading in Acute Myocardial Infarction Shock

In this collaborative webinar, CardioNerds and the Cardiogenic Shock Working Group (CSWG) delve into the evolving landscape of LV unloading strategies in acute myocardial infarction (AMI) shock. Featuring Dr. Rachel Goodman and Dr. Gurleen Kaur (CardioNerds) alongside experts Dr. Navin Kapur, Dr. Shashank Sinha, and Dr. Rachna Kataria (CSWG), the session reviews the recent upgrade of transvalvular flow pumps to a Class 2A recommendation in the updated AMI guidelines. The panel analyzes a challenging case of an elderly woman with an anomalous single coronary artery who developed AMI shock following re-occlusion of a stented RCA. Despite initial support with IABP, progressive hemodynamic decline prompted escalation to VA-ECMO and Impella CP for LV unloading, resulting in lactate normalization. This discussion underscores the importance of tailored mechanical circulatory support strategies in complex cardiogenic shock scenarios.

This podcast originally appeared on The CardioNerds.