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Updated: Oct 26, 2025

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
A Multidisciplinary Approach to Electrical Instability and Cardiogenic Shock in Acute Myocardial Infarction
Shuktika Nandkeolyar1, Tahmeed Contractor1, Rahul Bhardwaj1
1Division of Cardiology, Department of Internal Medicine, Loma Linda University Medical Center, Loma Linda, California.
Insights
New cardiogenic shock classifications aid in managing acute coronary syndrome complications. This case highlights advanced interventions for a patient with ST-elevation myocardial infarction and ventricular tachycardia storm.
Area of Science:
- Cardiology
- Interventional Cardiology
Background:
- Acute coronary syndrome (ACS) can lead to severe complications like cardiogenic shock.
- Newer classifications of cardiogenic shock facilitate timely diagnosis and treatment.
- Ventricular tachycardia storm is a life-threatening complication associated with myocardial infarction.
Abstract:
New cardiogenic shock classifications allow prompt recognition and management of complications of acute coronary syndrome. A 59-year-old man presented after a delayed left anterior descending coronary artery ST-segment elevation myocardial infarction in Society of Cardiovascular Angiography and Interventions stage E cardiogenic shock and ventricular tachycardia storm. He underwent revascularization of the left anterior descending artery, percutaneous left ventricular assist device bridged to permanent assist device placement, epicardial and endocardial ventricular tachycardia ablation, and iatrogenic closure of an atrial septal defect. (Level of Difficulty: Beginner.).
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