Unmasking right ventricular failure in cardiogenic shock: The importance of serial hemodynamics
Recommended Citation
Lemor A, Al-Darzi W, O'Neill W, and Basir MB. Unmasking right ventricular failure in cardiogenic shock: The importance of serial hemodynamics. Catheter Cardiovasc Interv 2021.
Document Type
Article
Publication Date
1-23-2021
Publication Title
Catheterization and cardiovascular interventions
Abstract
A 65-year-old female was transferred with myocardial infarction, three-vessel coronary artery disease, cardiogenic shock and an intraaortic balloon pump. Given persistent shock, mechanical circulatory support (MCS) was upgraded using a left ventricular hemodynamic support device (Impella CP). The patient was monitored in the catheterization laboratory and serial hemodynamic measures were obtained. Initial hemodynamics showed relative improvement; however, serial assessments demonstrated worsening hemodynamics secondary to right ventricular failure, ultimately requiring a right ventricular hemodynamic support device. The case highlights the rapid changes that can occur with mechanical circulatory support devices and demonstrates the importance of obtaining serial hemodynamics in the cardiac catheterization laboratory.
PubMed ID
33484043
ePublication
ePub ahead of print
