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Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

Reversible cardiogenic shock caused by atrioventricular junctional rhythm after percutaneous coronary intervention

Jun Wang1, Qi-Gao Zhang, Xiao-Min Cai

  • 1Department of Cardiology, Nanjing General Hospital of Nanjing Military Command, Medical School of Nanjing University, Nanjing 210002, Jiangsu Province, China.

Journal of Geriatric Cardiology : JGC
|October 26, 2012
PubMed

Insights

Cardiogenic shock after percutaneous coronary intervention (PCI) in an 82-year-old patient was successfully treated with atrial pacing when medications failed. This highlights pacing as a key intervention for PCI-induced cardiogenic shock.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Electrophysiology

Background:

  • Percutaneous coronary intervention (PCI) can precipitate cardiogenic shock.
  • Atrioventricular junctional rhythm is a potential complication post-PCI.

Observation:

  • An 82-year-old female developed cardiogenic shock due to atrioventricular junctional rhythm immediately after PCI.
  • Pharmacotherapy proved ineffective in managing the shock.

Findings:

  • Atrial pacing was successfully applied, reversing the cardiogenic shock.
  • Diagnosis pointed to PCI-related injury of the sinuatrial nodal artery, causing atrial contractility loss and arrhythmia.

Implications:

  • Atrial pacing is a viable and optimal management strategy for cardiogenic shock post-PCI.
  • Preoperative risk assessment and established emergent protocols are crucial for high-risk patients undergoing PCI.

Keywords:
Atrial pacingAtrioventricular junctional rhythmCardiogenic shockPercutaneous coronary intervention

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