AMI Cardiogenic Shock

Patient Management

Improving Outcomes in Cardiogenic Shock Through Best Practices

Prior to discharge from the cath lab and in the ICU, reassess hemodynamics via PA catheter. Best practices include measuring cardiac power output (CPO) and pulmonary artery pulsatility index (PAPi) to evaluate the adequacy of left-sided Impella® support and right heart function, while reducing inotropes.

The AMI cardiogenic shock guidelines present criteria for ongoing patient assessment for myocardial recovery and weaning. If patients meet the criteria for myocardial recovery, wean and remove Impella after a minimum of 48 hours. If recovery is inadequate or there are no signs of recovery in the first 48 to 72 hours, consider escalation of care or transfer.

Patient Management Topics

Learn more about different patient management aspects, including access site management, positioning, repositioning, alarm handling, weaning, escalation, and purge system management.


Impella Device Management on ICU

Joseph Parrillo, MD, Brian Porvin, DO, and Steven Keller, MD, PhD, discuss patient management in intensive care management with Impella heart pumps.


LVEDP and SmartAssist® Technologie

Learn how the LV waveform is derived and how left ventricular end-diastolic pressure (LVEDP) is measured from this waveform using SmartAssist technology.

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Interview with Dr. Pappalardo on “Optimal ICU Management of Patients Requiring Hemodynamic Support with an Impella® Device"

Watch the interview with Dr. Pappalardo and learn more about ICU Management of patients requiring hemodynamic support.


Digital Summit Recording 2021

Explore our Digital Summit 2021 Recordings

Education Library

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Additional Services

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Impella Connect®

Your cloud-based, remote monitoring of Impella heart pump status to help improve patient outcomes. With Impella Connect, authorized hospital staff can review cases at any time from any internet-connected device.

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Clinical Support Center

Your on-call resource for 24/7 clinical and technical support. Contact the Clinical Support Center (CSC) at +49 (0)1805 2246633 (EU) for patient management expertise to help you achieve the best possible patient outcomes.

Additional Resources

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