The Broken Heart by Pete McCanny

THE BROKEN HEART

Dr Peter McCanny

Cardiogenic Shock

Valvular pathologies

Acute MI (80%)

Decompensated heart failure

Acute myocarditis

Congenital Heart diseases

Septic cardiomyopathy

Post- cardiotomy

Primary graft failure

CARDIOGENIC SHOCK IS A SPECTRUM

MECHANICAL CIRCULATORY SUPPORT

AXIAL PUMP

‘Propeller in pipe’

Impella 2.5 and 5

CENTRIFUGAL PUMP

Electromagnetic force

Rotational kinetichydrodynamic

ECMO

SURGICAL

LVAD

Pneumatic Axial flow CentrifugalCentrifugal

MCSMechanisms

LV pressure unloading (IABP)

LV volume unloading(Impella,

Tandemheart)

Bivent support (device combo)

Bivent support (ECMO)

IABP-SHOCK 2

IMPELLA

IMPRESS

RECOVER-2

ISAR- SHOCK

JUST PUT THEM ON ECMO!

PERIPHERAL VA ECMO

HEART AND LUNG SUPPORT