237. CCC: Approach to LV Predominant Cardiogenic Shock with Dr. Shashank Sinha

In this episode of the Cardionerds Cardiac Critical Care Series, co-chairs Dr. Eunice Dugan, Dr. Amit Goyal, and Dr. Karan Desai host Dr. Vanessa Blumer and Dr. Shashank Sinha to discuss LV-predominant cardiogenic shock. The discussion covers the definition, clinical criteria, and physical exam findings associated with cardiogenic shock, as well as the differences between AMI cardiogenic shock and heart failure cardiogenic shock. Dr. Sinha explains how to distinguish LV-predominant shock from RV-predominant or biventricular shock and emphasizes the importance of accurate phenotyping. The panel explores risk stratification methods, including the SCI staging system, and discusses pharmacotherapies such as inotropes, vasodilators, and vasopressors. The episode concludes with a discussion on mechanical circulatory support, including the intra-aortic balloon pump and Impella devices, and the importance of tailoring treatment to the individual patient.