AHF/Transplant Cardiologist @UTHealthHouston #SoMe Editor #JACCHF #JACCAdvances ; Member editorial board- #ASAIO, #JCF. Tweets - my own; RT🚫Endorsement
Nov 25, 2023 • 12 tweets • 5 min read
🔥🔥HF chronicity: 🎯factor for assessment of pts with HF-CS; esp while considering futility/use of #MCS
🏷️Multicenter study with HF-CS pts
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@BenediktSchrage @dirkwestermann @thiele_holger @JonaSundermeyer 👏👏
#ACCEarlyCareer #ACCFIT onlinelibrary.wiley.com/doi/10.1002/ej…
‘Conventional’ markers of CS & therapy 🟰 b/w pts with AC HF-CS vs de novo HF-CS
🏷️ Per SCAI classification, CS severity ⬆️ in pts with AC HF-CS, with ⬆️☠️
Long-standing HF in pts with AC HF-CS might -> ⬇️ tolerance to acute haemodynamic decline with #CardiogenicShock
#JACCEarlyCareer#CardiacCriticalCare
🏷️ Respiratory insufficiency- primary cause for admission to CICU.
🏷️ Liberation from IMV in CICU- needs careful planning and evaluation
🏷️ Research incorporating unique CICU population will better define optimal treatment paradigms
Aug 18, 2022 • 21 tweets • 11 min read
🔥Review on optimal targets in #CardiogenicShock in @JACCJournals#Advances by @benhibbertMDPhD & team 👏
Clinical, biochemical & hemodynamic targets to guide therapy & escalation of therapy. @Sadeer_AlKindi@baileyannRN#ACCEarlyCareer#ACCFIT
👉jacc.org/doi/10.1016/j.…
Current guidelines focus on the t/t of inciting event & restore end-organ perfusion; inotropes/pressors to target MAP ≥65 mm Hg.
🏷 Asses serial markers of systemic perfusion- lactate, ScVO2, UOP, Cr, LFTs, mentation, temp, and invasive hemodynamics & target accordingly