Circulatory support in cardiogenic shock after acute myocardial infarction.
Mortality is high in patients with acute coronary failure and cardiogenic shock. The most commonly used device for hemodynamic support is the intra-aortic balloon, which, however, may be insufficient in patients with refractory cardiogenic shock. This is a case report of a patient complaining of two days of intense and oppressive chest pain, radiating to the left arm. The ECG showed ST elevation. The patient was submitted to angioplasty and stent implant in the anterior descending artery and developed cardiogenic shock refractory to vasoactive drugs and intra-aortic balloon. Hemodynamic measures were carried out and we chose to use an Impella 2.5 device, by percutaneous route, for circulatory support.
Hospital São Camilo Pompéia, São Paulo, SP, Brasil.
Humberto F G
HF
Freitas
Breno A A
BA
Falcão
Rafael C
RC
Silva
Jamil C
JC
Ribeiro
Luiz Guilherme C
LG
Velloso
Fabio Sandoli de
FS
Brito Junior
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D005260:Female; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D009203:Myocardial Infarction / Q000601:surgery; D012770:Shock, Cardiogenic / Q000209:etiology / Q000601:surgery*; D015607:Stents; D016896:Treatment Outcome