213 - CONUNDRUMS IN CARDIOGENIC SHOCK (POINT AND COUNTERPOINT)

Sunday, October 30, 2022

11:00 AM – 11:45 AM EDT

Location: Room 210

Target Audience: Critical care practitioners, Heart failure specialists, Cardiac surgeons

Chair(s)

Rakesh C. Arora, MD, PhD

President - CSCS
CSCS
Case Western Reserve University
Cleveland, Ohio, United States

Co-Chair(s)

Erin Rayner-Hartley, MD FRCPC

Cardiology, Critical Care Medicine
CANCARE
University of British Columbia
Vancouver, British Columbia, Canada

Presenter(s)

SD

Simon-Pierre Demers

Cardiology resident (PGY-6)
Institut de Cardiologie de Montréal
Montréal, Quebec, Canada
AD

Anique Ducharme, MD, MSc (she/her/hers)

Cardiologist
CHFS, CCTN, CanCare
University of Montreal
Montréal, Quebec, Canada
Ansar Hassan, MD

Cardiovascular Surgeon
Maine Medical Center, MaineHealth
Dalhousie University
Portland, Maine, United States
Shuangbo Liu, MD, FRCPC

Interventional Cardiologist/Assistant Professor
St. Boniface Hospital/University of Manitoba
St. Boniface Hospital, University of Manitoba
Winnipeg, Manitoba, Canada
Adriana Luk, MD, MSc, FRCPC

Critical Care Cardiologist, Advanced Heart Failure and Transplantation
University Health Network
University Health Network
Toronto, Ontario, Canada
Dave Nagpal, MD

Cardiac Surgeon / Critical Care Physician
London Health Sciences Centre
Western University
London, Ontario, Canada
Gurmeet Singh, MD, MSc, FRCSC

Critical Care & Cardiac Surgery
CANCARE & CSCS
CANCARE, CSCS
Edmonton, Alberta, Canada
Louise Y. Sun, MD SM FRCPC FAHA

Chief, Division of Cardiothoracic Anesthesiology
Stanford University School of Medicine
CANCARE
Palo Alto, California, United States

Planning Committee Member(s)

Kim Anderson, MD

Assistant Professor, Division of Cardiology
NS Health Authority, Halifax Infirmary
Dalhousie University
Halifax, United States
Filio Billia, MD PhD FRCPC FACC

Clinician Scientist
CCS, CHFS, CCTN, CANCARE
Toronto General Research Institute
Toronto, Ontario, Canada
Darshan H. Brahmbhatt, MB BChir

Heart Failure Attending
Mount Sinai Hospital
University of Toronto
Toronto, Ontario, Canada
NC

Nadia Clarizia

Trainee
Ottawa, Ontario, Canada
Brian Clarke, MD FRCPC FACC

Associate Professor, Division of Cardiology
St. Paul's Hospital, UBC Cardiology
UBC, Canada
Yoan Lamarche, MD MSc

Cardiac Surgeon
CSCS
Montreal Heart Institute
Montreal, Quebec, Canada
Chris Overgaard, MD (he/him/his)

Director, Complex PCI Program, Southlake Regional Healthcare Centre
Southlake Regional Healthcare Centre
CANCARE
Toronto, Ontario, Canada
Sean Van Diepen, MD, MSc

Physician
University of Alberta
University of Alberta
Edmonton, Alberta, Canada
Subodh Verma, MD PhD

Cardiac Surgeon
St Michael's Hospital, University of Toronto, ON
Toronto, United States

Learning Objectives:

At the conclusion of this session, participants will be able to:

critically appraise the literature supporting temporary MCS use in cardiogenic shock;
integrate the rational use of PACs into clinical practice of hemodynamically unstable patients with cardiogenic shock;
appraise the strengths and weaknesses randomized controlled trials of first line vasoactive therapies in patients with shock; and
provide an overview of the effect of positive end expiratory pressure has on cardiovascular hemodynamics.

Many aspects of cardiogenic shock care are assumed or proposed to be beneficial, but the evidence underpinning these management strategies may be lacking. The symposia plans to highlight the guideline and/or expert rationale for routine care options listed in the run of the show. At the end of each 7 min presentation another Canadian expert will be allowed to make a brief 3 minute counterpoint and convey to the audience the poor evidence underpinning the management strategy and/or common scenarios where it may not apply.