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Dr. Chacón-Lozsán Francisco - ACCA Young National AmbassadorCritical Care Medicine - Acute Cardiac CareUniversidad Central de VenezuelaMedical Director CICU AngiOs Cardiovascular Center
Patient: Female, 33yo.
ICU Admission cause: Post mitral valve replacement after rheumatic severe double mitral injury (severe stenosis, severe insufficiency).
Looks like a normal C-ICU day…
Metabolic acidosis with anion gap and pH 7,3.
Sinus rhythm with T wave inversion V1-V6, non-Q or J point changes.
Metabolic acidosis with anion gap with pH 7,36.
ACCA Scientific poster on Definitions and Treatment - Cardiogenic and Septic Shock
Patient’s TEFR was 11,1 at the moment of decompensation.
"TEFR value <60 low probability of MI"
“(2) In patients with life-threatening acute HF, before coronary angiography becomes possible, echocardiography including also STE can identify a highly probable acute phase of TTS and in such patients, if absolutely necessary, any administration of catecholamines should be continuously monitored by echocardiography and immediately stopped if the signs for TTS become more evident”
Avoid Inotropes as :
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