PPT-CULPRIT-SHOCK: A Randomized Trial of Multivessel PCI in Cardiogenic Shock

Holger Thiele MD o n behalf of the CULPRITSHOCK Investigators Disclosure Statement of Financial Interest GrantResearch Support Consulting FeesHonoraria Major Stock ShareholderEquity Royalty Income. Vlaar MD P D Karim D Mahmoud BS David R Holmes J MD P D Gert van Valkenhoef MS57511 Hans L Hillege MD P D57511 Iwan C C van der Horst MD P D Felix Zijlstra MD P D57511 Bart J G L de Smet MD P D Groningen and Rotterdam the Netherlands and Rochester . c. oronary. . d. isease. . d. iagnosed. . at the . t. ime. . of . p. rimary. . PCI for STEMI: . c. omplete. . r. evascularization. . v. ersus. . c. onservative. . s. trategy. . . PRAGUE . د. حسين محمد جمعة . اختصاصي الامراض الباطنة . البورد العربي . كلية طب الموصل . 2010. Key points. Shock is an important cause of morbidity and mortality. Analysis. By: Karl Wilson and Will Greene. Vocabulary. Culpability- . (N) Guilt or blame that . is deserved. Pother- (N) A heated discussion, debate, . or argument; fuss; to-do; uncertain . origin. Credo- (N) Any creed or formula of . Technology. Emergent Support. Clinical . Evidence and . Investigations. The Current Use of Impella 2.5 in Acute Myocardial Infarction Complicated by Cardiogenic Shock: . Results from the USpella Registry. . Sarswat. , MD. Cardiology Fellow. Cardiogenic. Shock. Types of Shock. Distributive/Septic Shock: variable cardiac output, decreased SVR. Hypovolemic. Shock: decreased effective circulating volume. Ananya Anne. Case . 64 y/o man with . pmh. of CHF, COPD, IDDM2, is sent from his nursing home with altered mental status. On presentation he is AAOX1 and follows some commands. His vitals are stable except for O2 sat which is 88%. On physical exam, there are some fine crackles to auscultation in the posterior lung fields. He has 1+ pitting edema in the lower extremities. JVP is not appreciable. His echocardiogram from one month prior shows an EF ~45%. His EKG is unchanged with no acute changes. . Acts 5-11, Ephesians 6:10-18. Identify the true . culprit. Expel the culprit . If we are not willing . to . identify and . expel . him . we will . be defeated by . him!. Now a man named Ananias, together with his wife . Types of Shock. Hypovolemic. Inadequate blood volume. Distributive. Inappropriately distributed blood volume and flow. Cardiogenic. Insufficient CO caused by poor myocardial function. Obstructive. Obstructed flow (into or out of the heart). 1. Left Coronary Artery (LCA). Right Coronary Artery (RCA). = Suspected Index . Culprit Lesion. = . Unblinded. Scan. = Blinded Scan. = Treated Segment; . scanned but not . included in analysis. Abdullah . Alsakka. EM.Consultant. Antibiotics. . Relationship . between the delay of antibiotic administration after the onset of shock and mortality in patients with septic shock. . From:.   . Nobre. moderator:. Jeremy Rock. President ● . RockIT. Group. Agenda. PCI Overview. Removing Card Data From Your Hotel. . Best Practices. Questions & Answers. PCI. . Overview. Presenters:. Mark Haley, . Shock:. What Are the . Hemodynamics. ?. Jeff Davis, RRT, RCIS . Jeff Davis has nothing to disclose. Disclosures. Shock. Hippocrates perhaps first to describe shock . French surgeon Henri Francois Le . Profound hemodyamic and metabolic disturbance characterized by failure of the circulatory system to maintain adequate perfusion of vital organs. Types of Shock. Cardiogenic (intracardiac vs extracardiac).