RT Book, Section A1 de la Cruz, Angel A1 Allu, Sai Vishnuvardhan A1 Saad, Muhammad A1 Gidwani, Umesh A2 Sharma, Samin K. A2 Vittorio, Timothy J. A2 Saad, Muhammad SR Print(0) ID 1207370699 T1 Cardiogenic Shock: Temporary Mechanical Circulatory Support Devices T2 Devices in Cardiac Critical Care YR 2024 FD 2024 PB McGraw Hill PP New York, NY SN 9781265209612 LK accesscardiology.mhmedical.com/content.aspx?aid=1207370699 RD 2024/11/11 AB Case PresentationA 56-year-old woman with hypertension and hyperlipidemia presented to the emergency room complaining of sudden-onset central chest pain and shortness of breath. She was found to have an inferior ST-segment elevation myocardial infraction. She was immediately taken to the cardiac catheterization laboratory and received a drug-eluting stent in the right coronary artery with Thrombolysis in Myocardial Infarction (TIMI) grade III flow. Her heart rate was 115 bpm, and blood pressure was 80/60 mmHg. Dopamine was initiated in the catheterization lab and was titrated to maximum dose. Her blood pressure did not improve, and she continued to feel short of breath. At this point, a Swan-Ganz catheter was placed, and her pulmonary capillary wedge pressure was 20 mmH2O, right atrial pressure was 12 mmHg, and cardiac index was 1.9. Echocardiogram showed left ventricular ejection fraction of 45%, moderate to severe mitral regurgitation, and no pericardial effusion. She was initiated on intra-aortic balloon pump (IABP) and taken to the critical care unit. Her hemodynamics were stabilized initially, and she continued to improve on subsequent days. Her vasopressor requirements were decreased, and she was weaned off IABP.