Track 09 of 14
Critical Care Cardiology
Cardiogenic shock, mechanical support, ECMO and the modern CICU.
Critical care cardiology has crystallized as a subspecialty around the cardiogenic shock literature: DanGer Shock established Impella CP mortality benefit in STEMI shock, ECLS-SHOCK challenged routine VA-ECMO, and the SCAI shock stages have become standard. The track covers shock-team protocols, escalation/de-escalation algorithms, LV venting strategies, and the STEMI Door-to-Unload program. Sessions also examine massive PE management (HI-PEITHO, FlowTriever), refractory VT in the CICU, post-arrest neuroprognostication, and the staffing/training models for level-1 cardiac ICUs.
Focus areas
- Cardiogenic shock: DanGer Shock, ECLS-SHOCK, SCAI staging
- Impella, IABP, and VA-ECMO: selection and weaning
- STEMI Door-to-Unload and pre-PCI mechanical support
- Massive and submassive PE: HI-PEITHO, FlowTriever
- Refractory ventricular arrhythmias in the CICU
- Post-cardiac-arrest care and TTM-2 era protocols
- Shock teams, regionalization, and CICU staffing models