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Cardiology

Critical Care   

Questions discussed in this category

How have the findings from DanGer Shock RCT changed your perspective on which patients presenting with acute MI complicated by cardiogenic shock would benefit from Impella for additional hemodynamic support?
3 Answers available
What is the role of mechanical circulatory support in mixed cardiogenic vasodilatory shock?
1 Answer available
How do you decide on the speed and target of blood pressure reduction for spontaneous intracranial hemorrhage?
4 Answers available
How do you approach caring for patients admitted with decompensated CHF, but who also exhibit hypotension and do not have overt signs of hypervolemia on exam?
For example, do you consider "cautious" IV fluids or otherwise consider early vasopressors?
4 Answers available
Is there any evidence to support further uptitration of dobutamine beyond 5mcg/kg/min for patients with advanced HF and/or cardiogenic shock, or should further investigation into potential MCS be considered at that point?
1 Answer available
Do you transcutaneously pace or cardiovert patients with DNR status who have not lost pulses?
1 Answer available
When do you usually introduce conversations regarding tracheostomy placement in patients with refractory status epilepticus, or other conditions where one may anticipate delayed awakening?
1 Answer available
What would be your approach to percutaneous intervention for acute plaque rupture and cardiogenic shock for a patient with cirrhosis and severe thrombocytopenia?
2 Answers available
What has been your stepwise approach to oxygenation, including when to consider the use of inhaled nitric oxide or epoprostenol, in refractory hypoxemia due to cardiogenic pulmonary edema in patients who are otherwise not ECMO candidates?
1 Answer available
Do shorter door-to-balloon (D2B) times impact outcomes in STEMI, if it's already less than 90 minutes, and to what degree (i.e., 30 vs 60 minutes would have a more significant impact)?
1 Answer available
What factors do you consider for patients on an individual basis when establishing a post-cardiac arrest MAP goal after ROSC is achieved, considering some may benefit from higher MAP goals for optimal cerebral perfusion?
1 Answer available
Do you routinely perform echocardiography in patients with Staphylococcus aureus bacteremia deemed low risk for metastatic infection, or do you selectively omit it based on specific clinical criteria?
Hendriks, et al., PMID 38576380
2 Answers available
What are first-line choices for vasopressors/inotropes to use in hypotensive patients with Eisenmenger Syndrome?
1 Answer available
Is there a role for repeat surveillance blood cultures in patients with prosthetic valve endocarditis without associated cardiac abscess after a 6 week course of antibiotic treatment without surgical intervention?
1 Answer available
In what clinical scenarios do you utilize post-cardiac arrest targeted temperature management (TTM)?
In the span between the HACA trial and the Targeted Temperature Management in Out-of-Hospital Cardiac Arrest study (Dankiewicz et al., PMID 34133859),...
1 Answer available
What is your preferred mechanism for venting the left ventricle in patients on VA-ECMO?
2 Answers available
What would be your second pressor of choice if patients with LVOT obstruction remain persistently hypotensive on phenylephrine?
1 Answer available
Do you routinely use vasopressin in the management of RV failure leading to shock state in the absence of an obvious treatable cause such as infarction or PE?
2 Answers available
When would you consider using acetazolamide to augment diuresis in patients with ADHF?
1 Answer available
What is your approach to volume resuscitation in patients with obvious septic shock but also with a component of suspected cardiogenic shock?
4 Answers available
What are your preferred ventilatory settings/mode(s) for patients with acute hypoxic respiratory failure presenting with severe biventricular dysfunction in cardiogenic shock?
1 Answer available


Papers discussed in this category

The New England journal of medicine, 2002-02-21
Treatment of comatose survivors of out-of-hospital cardiac arrest with induced hypothermia.
N Engl J Med, 2013 Nov 17
Targeted temperature management at 33°C versus 36°C after cardiac arrest.
Cureus, 2022 Sep 11
Targeted Temperature Management After Cardiac Arrest: A Systematic Review.
Crit Care, 2020 Jan 06
High Quality Targeted Temperature Management (TTM) After Cardiac Arrest.
Circulation, 2015 Sep 15
Infective Endocarditis in Adults: Diagnosis, Antimicrobial Therapy, and Management of Complications: A Scientific Statement for Healthcare Professionals From the American Heart Association.
The Annals of thoracic surgery, 2017 Feb 04
Surgical Versus Medical Therapy for Prosthetic Valve Endocarditis: A Meta-Analysis of 32 Studies.
European heart journal, 2023 Oct 14
2023 ESC Guidelines for the management of endocarditis.
Journal of the American Heart Association, 2024 Jan 19
Impella Versus Intra-Aortic Balloon Pump in Patients With Cardiogenic Shock Treated With Venoarterial Extracorporeal Membrane Oxygenation: An Observational Study.
Perfusion, 2021 Jul 28
Veno-arterial extracorporeal membrane oxygenation with concomitant Impella versus concomitant intra-aortic-balloon-pump for cardiogenic shock.
Current problems in cardiology, 2022 Sep 26
Impella Versus Extracorporeal Membranous Oxygenation (ECMO) for Cardiogenic Shock: A Systematic Review and Meta-analysis.
European heart journal, 2023 Jun 09
Pre-treatment bicarbonate levels and decongestion by acetazolamide: the ADVOR trial.
The New England journal of medicine, 2022 Aug 27
Acetazolamide in Acute Decompensated Heart Failure with Volume Overload.
Circulation, 2019 Nov 17
The Evolving Landscape of Impella Use in the United States Among Patients Undergoing Percutaneous Coronary Intervention With Mechanical Circulatory Support.
JACC. Heart failure, 2020 Nov
Complete Hemodynamic Profiling With Pulmonary Artery Catheters in Cardiogenic Shock Is Associated With Lower In-Hospital Mortality.
The New England journal of medicine, 2024 Apr 07
Microaxial Flow Pump or Standard Care in Infarct-Related Cardiogenic Shock.
The New England journal of medicine, 2013-09-05
Door-to-balloon time and mortality among patients undergoing primary PCI.
The New England journal of medicine, 2000-05-04
Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome.
Respiratory care, 2011-11
Long-term survival in patients with tracheostomy and prolonged mechanical ventilation in Olmsted County, Minnesota.
JAMA, 2005 Dec 28
Noninvasive ventilation in acute cardiogenic pulmonary edema: systematic review and meta-analysis.
Respiratory care, 2011 Oct
Approaches to conventional mechanical ventilation of the patient with acute respiratory distress syndrome.
The New England journal of medicine, 2013 May 20
Prone positioning in severe acute respiratory distress syndrome.
JAMA, 2022 May 17
Effect of Early vs Standard Approach to Tracheostomy on Functional Outcome at 6 Months Among Patients With Severe Stroke Receiving Mechanical Ventilation: The SETPOINT2 Randomized Clinical Trial.
JAMA, 2013 May 22
Effect of early vs late tracheostomy placement on survival in patients receiving mechanical ventilation: the TracMan randomized trial.
The New England journal of medicine, 2021 Aug 05
Milrinone as Compared with Dobutamine in the Treatment of Cardiogenic Shock.
Circulation. Heart failure, 2024 Apr 08
Early Serial Assessment of Aggregate Vasoactive Support and Mortality in Cardiogenic Shock: Insights From the Critical Care Cardiology Trials Network Registry.
Journal of the American College of Cardiology, 2025 Mar 21
Early Intra-Aortic Balloon Support for Heart Failure-Related Cardiogenic Shock: A Randomized Clinical Trial.
Journal of cardiac failure, 2021 Oct
Heart Failure-Related Cardiogenic Shock: Pathophysiology, Evaluation and Management Considerations: Review of Heart Failure-Related Cardiogenic Shock.
JAMA, 1989 Feb 10
The limited reliability of physical signs for estimating hemodynamics in chronic heart failure.
The New England journal of medicine, 2013-06-20
Rapid blood-pressure lowering in patients with acute intracerebral hemorrhage.
The New England journal of medicine, 2016 Jun 08
Intensive Blood-Pressure Lowering in Patients with Acute Cerebral Hemorrhage.
The New England journal of medicine, 2024 May 16
Intensive Ambulance-Delivered Blood-Pressure Reduction in Hyperacute Stroke.
Lancet (London, England), 2023 May 25
The third Intensive Care Bundle with Blood Pressure Reduction in Acute Cerebral Haemorrhage Trial (INTERACT3): an international, stepped wedge cluster randomised controlled trial.

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