RT Book, Section
A1 Shah, Samit K.
A1 Gopalan, Radha
A1 K. Gidwani, Umesh
A2 Lee, Kiwon
SR Print(0)
ID 1143956920
T1 Cardiogenic Shock and Intraaortic Balloon Pump
T2 The NeuroICU Book, 2e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071841443
LK neurology.mhmedical.com/content.aspx?aid=1143956920
RD 2024/04/19
AB A  56-year-old  man  with  past  medical  history  of  hypertension  and  hyperlipidemia  presents  to  the  emergency  department  with  1  hour  of  substernal  chest  pain  and  shortness  of  breath.  On  arrival,  patient  is  lethargic,  in  respiratory  distress  and  is  emergently  intubated.  Vital  signs  on  presentation  are  temperature,  100°F;  heart  rate,  110  bpm;  blood  pressure,  80/50  mm  Hg;  respiratory  rate,  12  per  minute;  and  oxygen  saturation,  96%  on  assist  control-volume  control  mechanical  ventilation.  On  physical  examination,  the  patient  has  elevated  jugular  venous  distention,  decreased  breath  sounds  bilaterally,  tachycardia  without  any  audible  murmurs,  and  cool  extremities.  An  electrocardiogram  (ECG)  shows  ST  elevations  in  leads  V1-V4  with  ST  depressions  in  leads  II  and  III,  and  aVF  (Figure  38-1).  The  troponin  level  is  raised  to  6  ng/mL  (normal  value  <  0.01  ng/mL).  He  is  given  aspirin,  325  mg  and  started  on  a  heparin  drip.