Are Pulmonary Artery Diastolic Pressure & Pulmonary Capillary Wedge Pressure (PCWP) related in Cardiogenic Shock?

See our Critical Care Cardiology Trials Network paper in Journal of Cardiac Failure

🙏 to Alex Papolos, MD & Dave Morrow, & David Berg Jason N. Katz Sean van Diepen, Sarma Singam & CCCTN

onlinejcf.com/article/S1071-…

Great to work with MWHC IM Residency & Georgetown Internal Medicine residents (now fellows), HF colleagues (including Sriram Rao & Selma Mohammed) & Prof. Hector M. Garcia-Garcia on this project looking at using novel coronary flow assessment (QFR) in cardiac transplant recipients

Phillip Lam, MD

Awesome session on scary #CICU cases AHAMeetings with Nick Smith, & panelists Ann Gage Mike Solomon Carlos L. Alviar MD, FACC Erin Bohula Shikha Kapil, MD Tom Metkus

Christopher Barnett MD, MPH, FACC Jason N. Katz

Great to catch up with Georgetown Cardiology Fellows alum & new Penn #echofirst faculty AHAMeetings

Gaby Weissman Christy Kaiser Phillip Lam, MD

Excellent #AHA23 Main Event on Moving the Needle Forward in Cardiogenic Shock! All-Star Panel Drs. Hochman + Morrow, venu menon Joann Lindenfeld Holger Thiele Robert Roswell. Drs. Hochman and Menon starting us off looking at future of research in #CS and new targets for therapy

Save the date for a MAIN event AHA Science hosted by Critical Care Cardiology, w moderators Susanna Price #DavidMorrow Amit Goyal MD MAS

W/speakers #judithhochman venu menon #JoannLindenfield Holger Thiele Robert Roswell
Sun 11/12 8 am. Show up early for a seat!
#ACCCriticalCare

Cardiogenic Shock Teams - a contemporary review

Great to collaborate with MedStar Washington colleagues Maggie Stevenson Sarma Singam & Alex Papolos, MD

#CICU #critcarecards

trebuchet.public.springernature.app/get_content/14…

Great addition to #critcarecards23 -
CardioNerds poster session!

Lots of interesting cases/science including Andrew Hill from Georgetown Cardiology Fellows with a case of non-ischemic (myocarditis) papillary muscle rupture

Phillip Lam, MD Gaby Weissman Christy Kaiser

The legendary #JudithHochman delivering the plenary address at #critcarecards23 . She was introduced by her very illustrious mentee, venu menon. This is the stuff that dreams are made of. Congratulations to the two legends in our field who continue to inspire all of us.

Judy Hochman’s amazing story #critcarecards23

🔑:
1) Clinical trials need teamwork
2) Keep big picture but pay attention to details
3) Persistence important for important question (SHOCK rejected x2 by NIH)
4) Adaptive platform designs & Bayesian stats analysis is the future

Great Debates in Critical Care Cardiology at #critcarecards23

ECLS is Lifesaving: Andrea Elliott
ECLS is Resource Wasting: Sean van Diepen

Both agree that ECLS can save lives. But How to understand who will benefit, and build symptoms of care needs more data.

Provocative and paradigm challenging pro/con debate between Susanna Price & Dan Burkhoff MD PhD on:

The Holy Grail of Cardiac Critical Care: Will There Be Another Positive Trial in Cardiogenic Shock

Moderated by Judy Hochman & Steve Hollenberg

#critcarecards23

The always dynamic Eugene Yuriditsky hitting the high notes of POCUS - the “stethoscope of the 21st century” #CritCareCards23 Ann Gage James Horowitz Samuel Bernard Ran Lee

Tour through the neuro ICU at #critcarecards23 by neuro intensivist Cherylee Chang.

Important longitudinal updates in time window for strike reperfusion intervention

Ann Gage reminding that more to cardiac critical care than the heart - challenging dogma on holding enteral feeds pre-extubation (we’re all guilty of chronically under nourishing our CS patients), combating “anemia of chronic investigation” with peds tubes. #CritCareCards23

Delighted to talk on post-cardiotomy emergencies at #critcarecards23

🔑:
1) CALS (👇) not ACLS
2) Mixed shock common
3) Re-sternotomy ≠ failure. Some patients need reoperation
4) Beware “smoke”/hemostasis on ECMO
5) TEE for focal posterior tamponade

One of the few reasons to use IV metoprolol in a crashing patient in the CICU! Great talk by Daniele Massera on the treatment of critically ill patients with obstructive HCM and ASH #critcarecards23

The one and only katie berlacher talking to us about pregnancy in the cardiac icu! Ooohhhh baby! UPMC Ricky Hansra, MD 🫀 Jenna Skowronski Carlos L. Alviar MD, FACC Elliott Miller #critcarecards23 Love this slide too 🤣

Entertaining high-yield debate on invasive vs noninvasive hemodynamic assessments of the acutely ill cardiac patient between Carlos L. Alviar MD, FACC and #courtneybennett w/ awesome reviews on how to assess congestion and perfusion in real time! Cc: Ryan J Tedford MD Matt Siuba #critcarecards23

Pulmonary artery catheter (🪿) vs echo (🦇) for congestion/perfusion assessment.

And the winner is both! Provide distinct but overlapping information that can both be needed for individual patient assessment

Carlos L. Alviar MD, FACC and Courtney Bennett

#critcarecards23