Associazione Nazionale Medici Cardiologi Ospedalieri

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CONGRESS ABSTRACT

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Cardiogenic shock in a patient with severe aortic valve stenosis and multivessel coronary disease: advanced therapeutic strategies
Anno:
2024
We describe a case of a 58 years old man. He was referred to emergency room for episodes of vomiting and epigastric pain for about a week. Upon admission he was confused with systolic-diastolic blood pressure values ​​70/40 mmHg, heart rate 120 bpm, sinus rhythm. pO2 was 80 mmHg…
MONOCENTRIC EXPERIENCE FROM A CARDIOGENIC SHOCK NETWORK: ROLE OF ECLS IN REFRACTORY CARDIOGENIC SHOCK, KEY TO SURVIVAL OR BRIDGE TO ADVANCED HEART FAILURE THERAPIES
Anno:
2024
Background: Extra-Circulatory Life Support (ECLS) is a vital therapeutic option in patients (pts) with refractory cardiogenic shock (CS). Few centers can assure optimal assistance to these delicate pts and early centralization in the context of regional networks is essential. Methods: We enrolled all consecutive pts with ECLS for refractory…
THE INTELLIGENT USE OF ADRENALINE
Anno:
2024
Case Report: A 52-year-old patient experienced anterior and inferior ST-elevation myocardial infarction, leading to cardiogenic shock necessitating invasive hemodynamic and pharmacological support. During angiography, an intra-aortic balloon pump (IABP) was inserted, and a norepinephrine infusion along with dobutamine was initiated, showing partial clinical and laboratory improvement. Critical disease in…
A case of STEMI complicated by cardiogenic shock treated using a minimal approach
Anno:
2024
Introduction An 88-year-old woman was admitted to our hospital for a posterior STEMI. The medical history was significant only for arterial hypertension. The echocardiography showed a mild left ventricular global dysfunction (EF 48%) with hyperkinesia of the posterior wall. After administration of loading doses of acetylsalicylic acid, clopidogrel and…
LEFT ATRIAL COMPRESSION BY HIATAL HERNIA IN A PATIENT WITH INTESTINAL OCCLUSION
Anno:
2024
Introduction A 93-year-old woman was admitted to the emergency department due to undifferentiated shock, she was unconscious and hypotensive. A 12-leads EKG was unremarkable except for sinus tachycardia. The patient was reanimated using volume filling. The objective examination showed cold and sweaty skin, the thoracic auscultation was normal and…
Optimal Management of a Patient with STEMI Complicated by Refractory Cardiogenic Shock through Successful Collaboration between Spoke and Hub Centers
Anno:
2024
Male, 51 y-o. STEMI (5/4/23) → PCIp on proximal LAD without procedural complications. Post-procedure BP 120/30 mmHg, HR 85 bpm. Critical stenoses remained on Circumflex (CFx)-Marginal Obtuse (MO).In the post-procedure observation, the patient experienced two episodes of Ventricular Fibrillation (VF),treated with DC-Shock, and cardiogenic shock,prompting urgent coronary angiography.The decision…