Learn about haemodynamic guidance in cardiogenic shock, including early intervention, device selection, and exit strategies, from Dr Frederick Welt (University of Utah, US)

This three-part video lecture series, part of Women As One’s CLIMB® 2025 Skills Training Programme, offers case-based insights into Coronary and Mechanical Support for Cardiogenic Shock, curated by Dr Alison Duncan and Dr Frederick Welt.

In this lecture, Dr Frederick Weltdiscusses haemodynamic guidance in cardiogenic shock, with a focus on early intervention, therapeutic goals, and the importance of an exit strategy. He reviews left and right ventricular failure, device options including balloon pump, Impella, TandemHeart, and VA-ECMO, as well as the role of pulmonary artery catheterisation and haemodynamic monitoring.

Drawing on recent studies, registry data, and practical experience, Dr Welt highlights how SCAI shock staging, institutional capabilities, and patient phenotype influence decision-making. He also addresses the limitations of current evidence, the need for escalation strategies, and the real-world challenges of balancing device benefits with complications such as bleeding or limb ischaemia.

Stay tuned for more content from the Complex Cases track of Women As One’s CLIMB® 2025 Skills Training Program.

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Women As One is a global organization dedicated to empowering women in cardiology. They offer a variety of resources and programs, including the CLIMB Skills Training Program and the Women As One Talent Directory, a global community of women in cardiology.

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