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Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
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[Acute myocardial infarction and cardiogenic shock in patient with COVID-19]

Yu A Schneider1, V G Tsoi1, M S Fomenko1

  • 1Federal Сenters of High Medical Technologies of Health Ministry, settl. Rodniki, Kaliningrad, Russia.

Kardiologiia
|December 9, 2021
PubMed

Insights

This case study highlights a successful treatment strategy for a patient with both COVID-19 and acute myocardial infarction (AMI). Intensive care and timely intervention, including extracorporeal membrane oxygenation, saved a life threatened by cardiogenic shock.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • The COVID-19 pandemic has strained healthcare systems, complicating care for acute cardiovascular conditions like acute coronary syndrome (ACS).
  • Co-infection with COVID-19 and acute myocardial infarction (AMI) presents a significantly elevated mortality risk.
  • Managing patients with both critical conditions requires specialized strategies.

Observation:

  • A 69-year-old patient presented with cardiogenic shock secondary to ACS, complete left bundle branch block, and severely reduced left ventricular ejection fraction (19%).
  • The patient was concurrently diagnosed with COVID-19.
  • This clinical scenario posed a severe threat to life due to the dual pathology.

Findings:

  • Successful coronary angiography with stenting was performed under extracorporeal membrane oxygenation (ECMO) support.
  • The patient underwent prolonged intensive care unit (ICU) therapy followed by cardiac surgery unit management.
  • A gradual recovery was observed, leading to hospital discharge on day 56.

Implications:

  • This case demonstrates the feasibility and effectiveness of an aggressive, multidisciplinary approach in managing complex COVID-19 and AMI cases.
  • Intensive care and timely interventions, including ECMO and revascularization, are crucial for improving outcomes in critically ill patients.
  • The described strategy offers a potential model for saving lives in similar high-risk patient populations.

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