You’ve done it again Donnie Demers ♿︎! ‘Christmas Again,’ the song you wrote for Tori Holub, really hits home as I think about my parents over the holidays. What a beautiful song and so relatable for anyone who’s lost a loved one. 🤍🪽

Happy birthday Donnie Donnie Demers ♿︎ ♥️🥰…

Fascinating case presented by the up and coming critical care interventional cardiologist, Omkar Betageri #CRITCARECARDS23 Jake Ortiz, M.D. Maxwell Afari Jason N. Katz Carlos L. Alviar MD, FACC Ann Gage

Proud of the MMC presence at the NYU critical care cardiology conference #CRITCARECARDS23 Omkar Betageri Jake Ortiz, M.D. Maxwell Afari Carlos L. Alviar MD, FACC Ann Gage Shashank Sinha, MD, MSc, FACC, FAHA Saraschandra Vallabhajosyula, MD MSc Jason N. Katz David Berg

The legendary #JudithHochman delivering the plenary address at #critcarecards23 . She was introduced by her very illustrious mentee, venu menon. This is the stuff that dreams are made of. Congratulations to the two legends in our field who continue to inspire all of us.

How should you wean from tMCS in #cardiogenicshock ? ⁦Bram Geller, MD⁩ shares ⁦AHA Science⁩ algorithm & key principles ⁦Navin Kapur⁩ ⁦Jason N. Katz⁩ ⁦Sean van Diepen⁩ ⁦James Horowitz⁩ ⁦Carlos L. Alviar MD, FACC⁩ ⁦Ann Gage⁩ #critcarecards23

Phenomenal keynote address from THE inimitable #DrDavidMorrow ⁦TIMI Study Group⁩ #CCCTN on research priorities #critcarecards23 ⁦Erin Bohula⁩ ⁦David Berg⁩ ⁦Ankeet S. Bhatt, MD, MBA⁩ ⁦Jason N. Katz⁩ ⁦Sean van Diepen⁩ ⁦James Horowitz⁩ ⁦Carlos L. Alviar MD, FACC⁩

Jason N. Katz leading us off at #critcarecards23 ! Shashank Sinha, MD, MSc, FACC, FAHA Ann Gage BalimSenman Ran Lee Carlos L. Alviar MD, FACC

Fantastic start to the NYU CC Symposium with CS from Jason N. Katz Anu Lala-Trindade Saraschandra Vallabhajosyula, MD MSc and many others. None other than our own Bram Geller, MD speaking re: MCS de-escalation! #critcarecards23 Maxwell Afari Carlos L. Alviar MD, FACC Ann Gage Jake Ortiz, M.D. CardioNerds

Guidance on clinical decision-making for escalation & de-escalation of tMCS devices in CS
AHA Scientific Statement in Circulation.
Bram Geller, MD, Chair Shashank Sinha, MD, MSc, FACC, FAHA, Vice Chair

10 Things to Know bit.ly/3Rkq07Y
bit.ly/3yoPkkJ

Great leadership from Bram Geller and Shashank Sinha, MD, MSc, FACC, FAHA 👇👇👇

Escalating and De-escalating Temporary Mechanical Circulatory Support in Cardiogenic Shock #AHAJournals
ahajrnls.org/3AzoLfy

Just published today: AHA scientific statement on escalating and de-escalating temporary mechanical circulatory support.

ahajournals.org/doi/epdf/10.11…

(14/14)

Targets for weaning MCS support

* Identifying adequate decongestion and ventricular unloading including an RA pressure <10 to 15 mm Hg and a PCWP <18 mm Hg.

** MAPs should remain ≥65 mm Hg on minimal vasoactive support...

(13/14)

***De-escalation***

During temporary MCS weaning, a stepwise decrease in support is device specific...

👇👇

(12/14)

The goal mean arterial pressure (MAP) must be at least 65 mm Hg for most patients with CS.

(11/14)

Algorithm for escalation of temporary mechanical support devices in patients with heart failure complicated by cardiogenic shock

(10/14)

Algorithm for escalation of temporary mechanical support devices in patients with acute myocardial infarction complicated by cardiogenic shock

**Outstanding!

👇👇👇

(9/14)

CICU AHA Acute CV Care tip.

Continuous pulmonary artery catheter assessments combined with noninvasive imaging may also facilitate the appropriate escalation of temporary MCS if clinical improvement is not seen with an initial support.

(8/14)

RV dominant failure is defined as:

* RA pressure is elevated
** RA to PCWP ratio >0.63 in AMI or 0.86 in LVAD
*** PAPi <0.9 in AMI-CS and <1.85 in LVAD

(7/14)

LV dominant failure is defined as:

* elevated PCWP or LVEDP>15 mmHg
** decreased CO/CI
*** RA pressure normal or elevated.