AMI Cardiogenic Shock
The Procedure
Good Outcomes in Cardiogenic Shock are Associated with:
- Early shock recognition1
- Initiation of Impella® device support pre-PCI
- Use of right heart catheterization (RHC) to optimize therapy1
- Timely escalation of care
Unloading Pre-PCI Associated with Improved AMI Cardiogenic Shock Outcome

Right Heart Failure is Common in AMI Cardiogenic Shock and Associated with a Three-Fold Increase in Mortality
It is important to identify right heart dysfunction early and before the patient leaves the cath lab.
Impella Step-by-Step Guide
Femoral Access Techniques
Thomas Tu, MD, discusses his approach to safely and effectively obtain access in the femoral artery and techniques to place a sheath in preparation for Impella insertion.
Achieving >70% AMI Cardiogenic Shock Survival: Insight from National Cardiogenic Shock Initiative (NCSI) Study
William O'Neill, MD, explains how cardiac power output (CPO) and pulmonary artery pulsatility index (PAPi) are used to drive care for patients after angioplasty.
Explore the Education Library
References
- O'Neill, W.W., TCT 2020.
NPS-1368