Cases/

Case 07 — Worsening right heart

CPadvanced00:00Score 100
CPadvanced8 min

Case 07 — Worsening right heart

Handover

Anterior STEMI, Impella CP at P-7, and the console will not stop suctioning. CVP 19, PCWP 9, PAPi 0.55. Echo from the doorway: D-sign, large RV, LV walls close together.

Uncorrected shock, suction, or a misplaced inlet progresses to pre-arrest, then a fail.

Goals

  • · RV supported
  • · PAPi ≥ 1.1
  • · Flow ≥ 2.1 L/min