From Struggle to Triumph: A Journey Through SCAI Stages to Myocardial Recovery.
Publication/Presentation Date
8-13-2025
Abstract
Cardiogenic shock (CS) is a time-sensitive, dynamic, and multifactorial syndrome that can progress quickly to multiorgan failure and become fatal if not addressed urgently. We present a case of a 47-year-old man who presented with non-ST-segment elevation myocardial infarction complicated by cardiogenic shock who was found to have ischemic cardiomyopathy with multivessel coronary artery disease. His clinical course was complicated by hemodynamic collapse requiring escalation of temporary mechanical circulatory support from intra-aortic balloon pump to Impella 5.5 to venoarterial extracorporeal membrane oxygenation support. Through a multidisciplinary team-based approach, he was successfully resuscitated, bridged to myocardial recovery, and discharged home with close follow-up in a multidisciplinary postshock clinic. This case underscores the importance of a multidisciplinary shock team approach to evaluation and management of patients with cardiogenic shock and various complications in both inpatient and outpatient settings as a bridge to myocardial recovery.
Volume
30
Issue
23
First Page
104124
Last Page
104124
ISSN
2666-0849
Published In/Presented At
Vavilin, I., Truesdell, A. G., Abdul-Aziz, A. A., Blumer, V., Delio, J., Isseh, I., King, C., Nguyen, A. H., Terek, M., & Sinha, S. S. (2025). From Struggle to Triumph: A Journey Through SCAI Stages to Myocardial Recovery. JACC. Case reports, 30(23), 104124. https://doi.org/10.1016/j.jaccas.2025.104124
Disciplines
Medicine and Health Sciences
PubMedID
40816855
Department(s)
Department of Medicine
Document Type
Article