Post-Coronary Angiography Hypotension and Cardiogenic Shock
Reading Time
2:00
Clinical Stem
2021.1
You are the duty anesthetist for your cardiovascular theatres.
You are called to the cardiac catheter lab recovery where they have a hypotensive patient following coronary angiography.
The medical emergency team (MET) have been called. The patient is a 55-year-old 85 kg male. He has no allergies or anaesthetic issues. He has a new presentation of heart failure and is being assessed for coronary artery disease.
His pre procedure echocardiogram showed a mildly dilated left ventricle with moderate dysfunction and an ejection fraction of 40%. On entering the recovery room you notice a number of people around the patient with more arriving.
Sections covered in this viva
Management including differential diagnosisUrgent management in hybrid theatre including induction for GAPost-stenting decompensation and cardiogenic shock management