A Multidisciplinary Approach to Electrical Instability and Cardiogenic Shock in Acute Myocardial Infarction

Shuktika Nandkeolyar, MD; Tahmeed Contractor, MD; Rahul Bhardwaj, MD; Ravi Mandapati, MD; Antoine Sakr, MD; Islam Abudayyeh, MD; Anees Razzouk, MD; Aditya Satish Bharadwaj, MD

JACC: Case Reports (Nov 2020)

A Multidisciplinary Approach to Electrical Instability and Cardiogenic Shock in Acute Myocardial Infarction

Shuktika Nandkeolyar, MD,
Tahmeed Contractor, MD,
Rahul Bhardwaj, MD,
Ravi Mandapati, MD,
Antoine Sakr, MD,
Islam Abudayyeh, MD,
Anees Razzouk, MD,
Aditya Satish Bharadwaj, MD

Affiliations

Shuktika Nandkeolyar, MD: Division of Cardiology, Department of Internal Medicine, Loma Linda University Medical Center, Loma Linda, California
Tahmeed Contractor, MD: Division of Cardiology, Department of Internal Medicine, Loma Linda University Medical Center, Loma Linda, California
Rahul Bhardwaj, MD: Division of Cardiology, Department of Internal Medicine, Loma Linda University Medical Center, Loma Linda, California
Ravi Mandapati, MD: Division of Cardiology, Department of Internal Medicine, Loma Linda University Medical Center, Loma Linda, California
Antoine Sakr, MD: Division of Cardiology, Department of Internal Medicine, Loma Linda University Medical Center, Loma Linda, California
Islam Abudayyeh, MD: Division of Cardiology, Department of Internal Medicine, Loma Linda University Medical Center, Loma Linda, California
Anees Razzouk, MD: Department of Cardiothoracic Surgery, Loma Linda University Medical Center, Loma Linda, California
Aditya Satish Bharadwaj, MD: Division of Cardiology, Department of Internal Medicine, Loma Linda University Medical Center, Loma Linda, California; Address for correspondence: Dr. Aditya Satish Bharadwaj, Division of Cardiology, Department of Internal Medicine, Loma Linda University Health, 11234 Anderson Street, Suite 2422, Loma Linda, California 92354.

Journal volume & issue: Vol. 2, no. 13
pp. 2053 – 2059

Abstract

Read online

New cardiogenic shock classifications allow prompt recognition and management of complications of acute coronary syndrome. A 59-year-old man presented after a delayed left anterior descending coronary artery ST-segment elevation myocardial infarction in Society of Cardiovascular Angiography and Interventions stage E cardiogenic shock and ventricular tachycardia storm. He underwent revascularization of the left anterior descending artery, percutaneous left ventricular assist device bridged to permanent assist device placement, epicardial and endocardial ventricular tachycardia ablation, and iatrogenic closure of an atrial septal defect. (Level of Difficulty: Beginner.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

About the journal

Abstract

Keywords