Miami Cardiac and Vascular Institute Grand Rounds: Recognition and Management of Acute Cardiogenic Shock
Cardiogenic shock has long been a difficult problem for clinicians. It is the leading cause of in-hospital death after myocardial infarction. Recently, however, survival rates have been improving. Improved understanding of the pathophysiology of cardiogenic shock has led to renewed emphasis on the notion that stunned or hibernating myocardium may recover function with hemodynamic support and restoration of flow. Dr. Navin K. Kapur will discuss patient assessment to identify signs of cardiogenic shock to rapidly escalate triage and management to improve patient outcomes. He will also review the latest on assist devices that can improve the management of cardiogenic shock. Dr. Lisardo Garcia-Covarrubias will discuss the use of extracorporeal membrane oxygenation (ECMO), and Dr. Marcus St. John will review cases.
Cardiologists, cardiovascular surgeons, interventional cardiologists, interventional radiologists, general internists, intensivists, critical care physicians, emergency medicine physicians, hospitalists, nurses, nurse practitioners, physician assistants, pharmacists, respiratory therapists and other interested healthcare providers.
- Identify the clinical and hemodyamic signs of cardiogenic shock.
- Escalate the importance of early recognition of shock in the adequate triage and treatment of patients in shock.
- Analyze indications for various support devices in the management of shock.
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Lisardo Garcia-Covarrubias, M.D.
Cardiac Thoracic Surgeon
Baptist and South Miami Hospitals
Navin K. Kapur, M.D.
Director, Acute Mechanical Circulatory Support Program
Director, Interventional Cardiology Research Laboratories
Director, Cardiac Biology Research Center within the Molecular Cardiology Research Institute (MCRI); Associate Professor, Tufts University School of Medicine
Marcus St. John, M.D.
Medical Director of the Cardiac Cath Lab
Miami Cardiac & Vascular Institute at Baptist Hospital
Baptist, South Miami and West Kendall Baptist Hospitals
Navin K. Kapur, M.D., indicated that he is a consultant with Maquet and Thoratec, Inc., a member of the speakers’ bureau for Abiomed, and receives research/ grant support from Cardiac Assist, Maquet and Abiomed. Dr. Kapur indicated that he will not include off-label or unapproved product usage in his presentation or discussion.
Lisardo Garcia-Covarrubias, M.D., and Marcus St. John, M.D., indicated that neither they nor their spouses/partners have relevant financial relationships with commercial interest companies, and they will not include off-label or unapproved product usage in their presentations or discussions.
Non-faculty contributors and other individuals involved in the planning, development, review and editing of the symposium content have indicated neither they nor their spouses/partners have relevant financial relationships.
- 1.50 AMA PRA Category 1 Credit™
- 1.50 General certificate of attendance
- 1.50 Nurse Practitioners
- 1.50 Florida Board of Nursing
- 1.50 Florida Board of Pharmacy
- 1.50 Florida Board of Respiratory Therapy
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