Case Report
Cardiogenic Shock due to Psychosis-Induced Inverted Takotsubo Cardiomyopathy Bridged-to-Recovery with a Percutaneous Left Ventricular Assist Device
Table 1
Hemodynamic indices and laboratory values during various stages of heart failure treatment.
| | Hemodynamic indices | Before Impella | During Impella (24 hours) | After Impella removal (24 hours) |
| | Mean arterial pressure (mmHg) | 72 | 84 | 75 | | Systolic blood pressure (mmHg) | 82 | 104 | 114 | | Diastolic blood pressure (mmHg) | 66 | 74 | 56 | | Heart rate (beats/min) | 112 | 97 | 98 | | Right atrial pressure (mmHg) | 12 | 10 | 4 | | Pulmonary artery pressure mean (mmHg) | 22 | 24 | 17 | | Pulmonary capillary wedge pressure (mmHg) | 18 | 20 | 11 | | Cardiac index (L/min/m2) | 1.05 | 2.10 | 3.20 | | Cardiac output (L/min) | 1.70 | 3.50 | 5.40 | | Impella flow (L/min) | 0 | 2.20 | 0 | | Systemic vascular resistance (dyne/sec/cm2) | 2824 | 1691 | 1051 | | Pulmonary artery oxygen saturation, % | 36 | 72 | 74 | | Femoral artery oxygen saturation, % | 100 | 100 | 100 |
| | Laboratory values | Before Impella | During Impella (24 hours) | After Impella removal (24 hours) |
| | Sodium, mEQ/L | 137 | 135 | 138 | | Blood urea nitrogen, mg/dL | 17 | 9 | 8 | | Creatinine, mg/dL | 1.30 | 0.70 | 0.70 | | CO2, mmol/L | 20.8 | 26.4 | 22.9 | | Alanine transaminase, IU/L | 30 | 766 | 219 | | Aspartate transaminase, IU/L | 84 | 379 | 41 | | Hemoglobin, g/dL | 14.6 | 10.5 | 10.9 | | Platelets, K/mL | 307 | 116 | 174 | | White blood cell, /microL | 16.0 | 12.3 | 9.6 | | Arterial pH | 7.26 | 7.54 | 7.44 | | Lactate, IU/L | 6.2 | 1.6 | 0.7 | | Troponin I, ng/mL | 14.7 | 13.1 | | | Brain natriuretic peptide, pg/mL | 1760 | | 256 |
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