Optimizing Antiplatelet Therapy in Cardiogenic SHOCK-Case Part 1

Video Transcription

Video Summary

A 57-year-old man with an unknown medical history collapsed at home, requiring immediate CPR by his wife and EMS intervention for ventricular fibrillation. Despite initial resuscitation successes and identification of a STEMI, he faced recurrent cardiac complications. The patient was placed on ECMO and underwent successful revascularization for a 100% occluded LAD and a thrombotic occlusion in the distal left main artery. Post-procedure, he showed low biventricular filling pressures and normal cardiac output, necessitating admission to the cardiothoracic ICU for targeted temperature management and further consultation with advanced heart failure and cardiac surgical teams.

Asset Subtitle

Adnan Khalif, MD, FSCAI

Keywords

ventricular fibrillation

STEMI

ECMO

revascularization

cardiothoracic ICU