the broken heart by pete mccanny
TRANSCRIPT
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THE BROKEN HEART
Dr Peter McCanny
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Cardiogenic Shock
Valvular pathologies
Acute MI (80%)
Decompensated heart failure
Acute myocarditis
Congenital Heart diseases
Septic cardiomyopathy
Post- cardiotomy
Primary graft failure
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CARDIOGENIC SHOCK IS A SPECTRUM
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MECHANICAL CIRCULATORY SUPPORT
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AXIAL PUMP
‘Propeller in pipe’
Impella 2.5 and 5
CENTRIFUGAL PUMP
Electromagnetic force
Rotational kinetichydrodynamic
ECMO
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SURGICAL
LVAD
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Pneumatic Axial flow CentrifugalCentrifugal
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MCSMechanisms
LV pressure unloading (IABP)
LV volume unloading(Impella,
Tandemheart)
Bivent support (device combo)
Bivent support (ECMO)
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IABP-SHOCK 2
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IMPELLA
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IMPRESS
RECOVER-2
ISAR- SHOCK
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JUST PUT THEM ON ECMO!
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PERIPHERAL VA ECMO
HEART AND LUNG SUPPORT
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