Early transfer to shock centers and advanced mechanical support (VA-ECMO with Impella) can stabilize delayed STEMI with cardiogenic shock, enabling bridge to heart transplant.
In refractory cases of delayed STEMI with cardiogenic shock, advanced mechanical circulatory support (VA-ECMO with Impella) may serve as a bridge to heart transplantation.
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Delayed STEMI presentation can cause extensive myocardial necrosis, left ventricular thrombus, cardiogenic shock, and progression to end-stage heart failure despite reperfusion. Early recognition and timely transfer to specialized shock centers are critical. In refractory cases, advanced mechanical circulatory support (VA-ECMO with Impella) may serve as a bridge to life-saving heart transplantation.
Zaidi et al. (Sun,) reported a other. Early transfer to shock centers and advanced mechanical support (VA-ECMO with Impella) can stabilize delayed STEMI with cardiogenic shock, enabling bridge to heart transplant.