Related Experiment Video
Updated: Aug 13, 2025
06:10
Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
3.3K
Extracorporeal Life Support for Cardiogenic Shock in Octogenarians: Single Center Experience
Nadezda Scupakova1,2, Karolis Urbonas1,2, Agne Jankuviene1
1II Department of Anaesthesiology and Intensive Care, Vilnius University Hospital Santaros Klinikos, LT-08661 Vilnius, Lithuania.
Journal of Clinical Medicine
|January 21, 2023
Summary
Extracorporeal membrane oxygenation (ECMO) is a viable treatment for octogenarians with post-cardiotomy cardiac failure. Early ECMO initiation in elderly patients with cardiogenic shock shows favorable survival outcomes.
Area of Science:
- Cardiology
- Cardiac Surgery
- Critical Care Medicine
Background:
- The established age limit for extracorporeal membrane oxygenation (ECMO) in post-cardiotomy cardiac failure is undefined.
- This study investigates the outcomes of octogenarians receiving ECMO for cardiogenic shock.
Purpose of the Study:
- To evaluate the effectiveness and outcomes of ECMO support in octogenarian patients experiencing cardiogenic shock post-cardiac surgery.
- To compare the outcomes of octogenarians with septuagenarians receiving ECMO.
Main Methods:
- A 13-year retrospective review of elderly patients undergoing ECMO for cardiac failure.
- Comparison of demographic, comorbidity, and perioperative data between octogenarian and septuagenarian groups.
- Analysis of in-hospital mortality, 6-month, and 1-year survival rates, along with discharge options.
Main Results:
- Eleven octogenarians (18.3%) and forty-nine septuagenarians (81.7%) were included.
- No significant differences in demographic or preoperative variables, except age, were observed between groups.
- Hospital mortality, 6-month, and 1-year survival rates did not differ significantly between octogenarians and septuagenarians.
Conclusions:
- ECMO can be safely and effectively utilized in selected octogenarian patients with post-cardiotomy cardiac failure.
- Early initiation of ECMO therapy in elderly patients with post-cardiotomy shock is linked to positive outcomes.
Keywords:
ECMOcardiac surgerycardiogenic shockelderlyextracorporeal membrane oxygenationoctogenarianspost-cardiotomyseptuagenariansMore Related Videos
Related Concept Videos
01:21Cardiopulmonary Resuscitation I: Adult
33
Cardiopulmonary resuscitation, or CPR, is a life-saving emergency procedure performed when a person's heart has stopped beating or they are no longer breathing. The foundation of CPR is Basic Life Support (BLS), which focuses on the early recognition of cardiac arrest, the immediate start of high-quality chest compressions, and the timely use of an automated external defibrillator (AED).Assessing Responsiveness and Checking the Carotid PulseWhen approaching an unresponsive person, first ensure...
33
01:25Cardiopulmonary Resuscitation IV: Pharmacological Management
62
Pharmacologic intervention is crucial in treating cardiac arrest patients during ACLS or Advanced Cardiovascular Life Support. The ACLS algorithms guide the administration of specific drugs based on the patient's cardiac arrest rhythm, which includes pulseless ventricular tachycardia (VT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA).EpinephrineIndication: Epinephrine is the first-line drug for all cardiac arrest rhythms.Mechanism of Action: Epinephrine...
62
01:22Heart Failure VI: Adjunct Therapies
22
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
22
01:30Heart Failure V: Medical Management
19
Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
19
01:29Cardiomyopathy V: Interprofessional Care
23
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
23
01:30Cardiomyopathy II: Dilated Cardiomyopathy
19
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
19