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          Viability Assessment-Cardiogenic shock at the Emergency Department
              
    
    

          
    
          
  
  
  
      
          
            
          
  
      
  
  
          
    
          2013
            
          

  
  
          
  
          

    
    
    
          
  Teaching Case    
    
    
  
          
  
          

    
    
    
          
    
    
    
  
          
  
          

    
    
    
          
  
          Case presentation:
          

          Patient 1
          

            

          • Male.
            • 

          • 45 y.o.
            • 

          • Hyperlipidemia, Hypertension, Diabetes Mellitus.
            • 

          • Presented with cardiogenic shock at the Emergency Department, treated with IABP and inotropic support initially.
            • 

          • Intervention performed 3/7 after admission.
            • 

          • Various cardiac imagings performed about 2 months later for progressive dyspnoea, NYHA IV.
            • 

          

          Patient 2
          

            

          • Female.
            • 

          • 56 y.o.
            • 

          • Presented at ER with a 4 day history of worsening dyspnoea at rest.
            • 

          • No chest discomfort.
            • 

          • Diabetes Mellitus.
            • 

          • Hypertension.
            • 

          • Hyperlipidemia.
            • 

          
    
    
    
  
          

          
        
          
  
      
  
  
          
    

          
  
  
          
  
          
    
  
          
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