Optimizing Antiplatelet Therapy in Cardiogenic SHOCK-Case Part 2

Video Transcription

Video Summary

The video details a complex case of a 57-year-old man who suffered an out-of-hospital cardiac arrest due to acute cardiogenic shock and underwent successful revascularization. Despite interventions like Impella CP and ECMO, he experienced limited left ventricular recovery and progressive weakness. He was assessed for heart transplant but was too high-risk; hence, he underwent LVAD placement. The experts discussed the challenges of managing the patient, emphasizing issues like antiplatelet therapy, bleeding risks, and management of ECMO complications. Discussion areas included protocols for anticoagulation and platelet strategies in ECMO patients, cost concerns of therapies, and variable practices in managing antiplatelet therapies during surgical preparation. Additionally, there is an exploration of ongoing trials for new injectable therapies aimed at preventing severe heart attacks, though logistical challenges exist. The session concludes with announcements of breakout sessions for further discussion.

Asset Subtitle

Adnan Khalif, MD, FSCAI

Keywords

cardiac arrest

cardiogenic shock

LVAD placement

antiplatelet therapy

ECMO complications

injectable therapies