A 48-year-old man is admitted to ICU with acute severe mitral regurgitation following an inferior STEMI. Echocardiography shows flail posterior mitral...

Question

A 48-year-old man is admitted to ICU with acute severe mitral regurgitation following an inferior STEMI. Echocardiography shows flail posterior mitral leaflet with a ruptured papillary muscle. He is in cardiogenic shock. BP 70/45, HR 130, cardiac index 1.4 L/min/m2. While awaiting emergency surgery, which mechanical support device would most effectively reduce left ventricular afterload and improve forward flow?

Accepted Answer

Intra-aortic balloon pump (IABP)

Answer

Impella CP device

Answer

VA-ECMO

Answer

Right ventricular assist device

Answer

Continuous positive airway pressure (CPAP)

uk-fficm MCQ (SBA): Acute Mitral Regurgitation