title: Cardiogenic Shock with Complete Atrio-ventricular Block in an Octogenarian Woman: Are we going too far?
abstract: We report a case of an octogenarian woman who suffered from cardiogenic shock following an inferolateral myocardial infarction extending to the right ventricle associated with complete atrioventricular heart block. Her initial status was critical with a poor prognosis. She requested an invasive full management to be able to continue to take care of her ill husband. She was managed with circulatory assistance, temporary pacing and percutaneous coronary intervention. The procedure was successfully performed and the patient showed a remarkable improvement in clinical condition. Cardiogenic shock complicating right heart ventricle in elderly requires careful patient selection for invasive strategies that can sometimes rely on the willingness of the patient, as the procedural outcome appears to be poor in this high-risk population.
authors.affiliation: Cardiology Department, University hospital of Caen, Avenue cote de nacre 14033 Caen, France.
authors.forename: Ziad
authors.initials: Z
authors.lastname: Dahdouh
authors.affiliation: Cardiology Department, University hospital of Caen, Avenue cote de nacre 14033 Caen, France.
authors.forename: Adrien
authors.initials: A
authors.lastname: Lemaitre
authors.affiliation: Cardiology Department, University hospital of Caen, Avenue cote de nacre 14033 Caen, France.
authors.forename: Vincent
authors.initials: V
authors.lastname: Roule
authors.affiliation: Cardiology Department, University hospital of Caen, Avenue cote de nacre 14033 Caen, France.
authors.forename: Vincent
authors.initials: V
authors.lastname: Troussard
authors.affiliation: Cardiology Department, University hospital of Caen, Avenue cote de nacre 14033 Caen, France.
authors.forename: Gilles
authors.initials: G
authors.lastname: Grollier
keywords: Cardiogenic shock; Octogenarian; Percutaneous coronary intervention