Cardiogenic shock is a life-threatening medical condition where the heart is unable to pump enough blood to meet the body's needs due to severe damage to the heart muscle, usually from a major heart attack. It can cause very low blood pressure and organ damage or failure if not treated quickly. Treatments focus on restoring blood flow through the heart with medications, medical procedures like angioplasty and stenting, or surgeries like coronary bypass if needed. The goal is to improve the heart's ability to pump and increase blood pressure before organ damage becomes permanent or the patient dies.
Cardiogenic shock is a condition of diminished cardiac output that severely impairs cardiac perfusion. In this condition in which the heart suddenly can't pump enough blood to meet the body's needs.
Cardiogenic shock is a condition of diminished cardiac output that severely impairs cardiac perfusion. In this condition in which the heart suddenly can't pump enough blood to meet the body's needs.
a clinical syndrome that results from inadequate tissue perfusion.
Hypovolemic shock - Blood or fluid loss, both leading to a decreased circulating blood volume, diastolic filling pressure, and volume.
Cardiogenic shock - due to cardiac pump failure related to loss of myocardial contractility/functional myocardium or structural/mechanical failure of the cardiac anatomy and characterized by elevations of diastolic filling pressures and volumes
Extra-cardiac/obstructive shock - due to obstruction to flow in the cardiovascular circuit and characterized by either impairment of diastolic filling or excessive afterload
Distributive shock - caused by loss of vasomotor control resulting in arteriolar/venular dilatation leading to a decrease in preload, with decreased, normal, or elevated cardiac output, depending on the presence of myocardial depression.
Cardiogenic shock is a rare condition .in this heart unable to pump an adequate amount of blood flow. types coronary cardiogenic shock and noncoronary cardiogenic shock.causes include any rupture of the in the ventricles .mi condition, any infectious condition,any medication that is a rare condition of the heart Are older
Have a history of heart failure or heart attack
Have blockages (coronary artery disease) in several of your heart's main arteries
Have diabetes or high blood pressure
Are female, Race or ethnicity
Cardiogenic shock signs and symptoms include:
Rapid breathing
Severe shortness of breath
Sudden, rapid heartbeat (tachycardia)
Loss of consciousness
Weak pulse
Low blood pressure (hypotension)
Sweating
Pale skin
Cold hands or feet
Urinating less than normal or not at all
treatment like emergency medication,dopamine ,doputamine ,adrenaline also given as a treatment to the patent. some other surgical procedure is there like cabg , heart transplantationmetc. preventionj oxf this avoid smoking,control alcohol,avoid stress etc
-
a clinical syndrome that results from inadequate tissue perfusion.
Hypovolemic shock - Blood or fluid loss, both leading to a decreased circulating blood volume, diastolic filling pressure, and volume.
Cardiogenic shock - due to cardiac pump failure related to loss of myocardial contractility/functional myocardium or structural/mechanical failure of the cardiac anatomy and characterized by elevations of diastolic filling pressures and volumes
Extra-cardiac/obstructive shock - due to obstruction to flow in the cardiovascular circuit and characterized by either impairment of diastolic filling or excessive afterload
Distributive shock - caused by loss of vasomotor control resulting in arteriolar/venular dilatation leading to a decrease in preload, with decreased, normal, or elevated cardiac output, depending on the presence of myocardial depression.
Cardiogenic shock is a rare condition .in this heart unable to pump an adequate amount of blood flow. types coronary cardiogenic shock and noncoronary cardiogenic shock.causes include any rupture of the in the ventricles .mi condition, any infectious condition,any medication that is a rare condition of the heart Are older
Have a history of heart failure or heart attack
Have blockages (coronary artery disease) in several of your heart's main arteries
Have diabetes or high blood pressure
Are female, Race or ethnicity
Cardiogenic shock signs and symptoms include:
Rapid breathing
Severe shortness of breath
Sudden, rapid heartbeat (tachycardia)
Loss of consciousness
Weak pulse
Low blood pressure (hypotension)
Sweating
Pale skin
Cold hands or feet
Urinating less than normal or not at all
treatment like emergency medication,dopamine ,doputamine ,adrenaline also given as a treatment to the patent. some other surgical procedure is there like cabg , heart transplantationmetc. preventionj oxf this avoid smoking,control alcohol,avoid stress etc
-
Cardiogenic shock : Medical Surgical NursingRaksha Yadav
This
presentation is designed for Nursing students and it gives a brief
about what you should know while caring for a client with Cardiogenic
shock and also its prevention.
Myocardial infarction is the medical name of a heart attack. A heart attack is a life-threatening condition that occurs when blood flow to the heart muscle is abruptly cut off, causing tissue damage. This is usually the result of a blockage in one or more of the coronary arteries.Symptoms include tightness or pain in the chest, neck, back or arms, as well as fatigue, lightheadedness, abnormal heartbeat and anxiety. Women are more likely to have atypical symptoms than men.
Treatment ranges from lifestyle changes and cardiac rehabilitation to medication, stents, and bypass surgery.
This presentation speaks about hypertension and how the brain regulates blood pressure. It also describes the ill effects of increased blood pressure on the human body. The intention of this presentation is to create an awareness on how lifestyle changes can help in managing blood pressure
Hey, these are the slides me n my friends made... Use them if u want to... for viewing the videos used click on the links given ahead.
http://www.youtube.com/watch?v=jzOti_MtmBk
http://www.youtube.com/watch?v=N9MARqmqSf4
http://www.youtube.com/watch?v=yokcKhqq48c
http://www.youtube.com/watch?v=rJZVFRJmc9M
heart failure otherwise called congestive heart failure. causes of this is diabetes Mellitus, hypertension, excess intake of fat, stress, prevention of this according to the doctor's order take the medicine, follow a diet plan, without sodium, alcohol, should be avoided.then we free from congestive heart failure .
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
1. Cardiogenic shock is a state in which a weakened heart isn't able to
pump enough blood to meet the body's needs. It is a medical
emergency and is fatal if not treated right away. The most common
cause of cardiogenic shock is damage to the heart muscle from a
severe heart attack.
Not everyone who has a heart attack develops cardiogenic shock. In
fact, less than 10 percent of people who have a heart attack
develop it. But when cardiogenic shock does occur, it's very
dangerous. For people who die from a heart attack in a hospital,
cardiogenic shock is the most common cause.
The medical term "shock" refers to a state in which not enough
blood and oxygen reach important organs in the body, such as the
brain and kidneys. In a state of shock, a person's blood pressure is
very low.
When a person is in shock (from any cause), not enough blood or
oxygen is reaching the body's organs. If shock lasts more than several
minutes, the lack of oxygen to the organs starts to damage them. If
shock isn't treated quickly, the organ damage can become
permanent, and the person can die.
Pathophysiology
The most common initiating event in cardiogenic shock is AMI. Dead
myocardium does not contract, and classical teaching has been that
when more than 40% of the myocardium is irreversibly damaged
(particularly, the anterior cardiac wall), cardiogenic shock may
result. On a mechanical level, a marked decrease in contractility
reduces the ejection fraction and cardiac output. These lead to
increased ventricular filling pressures, cardiac chamber dilatation,
2. and ultimately univentricular or biventricular failure that result in
systemic hypotension and/or pulmonary edema.
A systemic inflammatory response syndrome–type mechanism has
been implicated in the pathophysiology of cardiogenic shock.
Elevated levels of white blood cells, body temperature,
complement, interleukins, and C-reactive protein are often seen in
large myocardial infarctions. Similarly, inflammatory nitric oxide
synthetase (iNOS) is also released in high levels during myocardial
stress. iNOS induces nitric oxide production, which may uncouple
calcium metabolism in the myocardium resulting in a stunned
myocardium. Additionally, iNOS leads to the expression of
interleukins, which may themselves cause hypotension.
Myocardial ischemia causes a decrease in contractile function, which
leads to left ventricular dysfunction and decreased arterial pressure;
these, in turn, exacerbate the myocardial ischemia. The end result is
a vicious cycle that leads to severe cardiovascular decompensation.
Causes
The vast majority of cases of cardiogenic shock in adults are
due to acute myocardial ischemia.
Systolic -Beta-blocker overdose, calcium channel blocker
overdose, myocardial contusion, respiratory acidosis,
hypocalcemia, hypophosphatemia, and cardiotoxic drugs (eg,
doxorubicin [Adriamycin])
Diastolic - Ventricular hypertrophy and restrictive
cardiomyopathies
3. After load -Aortic stenosis, hypertrophic cardiomyopathy,
dynamic outflow obstruction, aortic coarctation, and malignant
hypertension
Valvular/structural -Mitral stenosis, endocarditis, myocarditis,
mitral or aortic regurgitation, atrial myxoma or thrombus,
pericardial tamponade & pulmonary embolism.
Risk factors for the development of cardiogenic shock include
preexisting myocardial damage or disease (eg, diabetes,
advanced age, previous AMI(acute MI), AMI (eg, Q-wave, large
or anterior wall AMIs), congenital heart disease, and
dysrhythmia.
Signs & symptoms:
Profuse sweating, moist skin
Tachycardia & tachypnea
Restlessness, agitation, confusion due to decreased cerebral
perfusion and subsequent hypoxia.
Skin that feels cool to the touch
Pale skin color or blotchy (mottled) skin
Rapid & Weak (thready) pulse
Decreased mental status - Loss of ability to concentrate & Loss
of alertness
Decreased or no urine output
Hypotension due to decrease in cardiac output
4. Distended jugular veins due to increased jugular venous
pressure.
DiagnosisBlood pressure. very low blood pressure, the most common sign of
shock.
ECG (electrocardiogram). diagnose severe heart attack & and
monitor heart's condition.
Chest X-ray.. A chest X-ray shows whether the heart is enlarged or
whether there is fluid in the lungs, which can be signs of cardiogenic
shock.
Echocardiography. This test uses sound waves to create a moving
picture of your heart. Echocardiography provides information about
the size and shape of your heart and how well your heart chambers
and valves are working. The test also can identify areas of heart
muscle that aren't contracting normally. Not enough blood is flowing
to these areas.
Coronary angiography. passing a catheter (a thin, flexible tube)
through an artery in leg or arm to heart. The catheter can measure
the pressure inside the various chambers of your heart. A dye that
can be seen on X-ray is injected into the blood through the tip of the
catheter. The dye allows to study the flow of blood through the heart
and blood vessels and see any blockages that exist.
Arterial blood gas measurement. In this test, a blood sample is taken
from an artery to measure oxygen, carbon dioxide, and pH (acidity)
in the blood..
Cardiac enzymes. When cells in the heart die, they release enzymes
into the blood called markers or biomarkers. Measuring these
5. markers can show whether the heart is damaged and the extent of
the damage. Cardiac biomarkers (eg, creatine kinase, troponin,
myoglobin)
Coagulation profile (eg, prothrombin time, activated partial
thromboplastin time)
Tests that measure the function of various organs, such as the
kidneys and liver. If these organs aren't working right, it could be a
sign that they aren't getting enough blood and oxygen, which could
be a sign of cardiogenic shock.
Brain natriuretic peptide (BNP) may be useful as an indicator of
congestive heart failure and as an independent prognostic indicator
of survival. A low BNP level may effectively rule out cardiogenic
shock in the setting of hypotension; however, an elevated BNP level
does not rule in the disease.
TreatmentEmergency life support- Emergency life support is a necessary
treatment for most people who have cardiogenic shock.
- Giving extra oxygen to breathe to minimize damage to your
muscles.
- If necessary, connected to a breathing machine (ventilator).
- Receiving medications and fluid through an intravenous (IV)
line in your arm.
Medication
Vasopressors- These drugs increase both coronary and cerebral
blood flow present during the low-flow state associated with shock.
6. Dopamine and dobutamine are the drugs of choice to improve
cardiac contractility.
Dopamine (Intropin)- 5-20 mcg/kg/min IV continuous infusion;
increase by 1-4 mcg/kg/min q10-30min to optimal response.
Dobutamine (Dobutrex)- 5-20 mcg/kg/min IV continuous infusion.
Phosphodiesterase enzyme inhibitors- These agents improve cardiac
output in refractory hypotension and shock. Milrinone and
inamrinone (formerly amrinone) may be used.
Milrinone- Loading dose: 50 mcg/kg IV over 10 min
infusion: 0.375-0.75 mcg/kg/min IV
Continuous
Inamrinone- Initial bolus: 0.75 mg/kg IV slowly over 2-3 min.
Maintenance infusion: 5-10 mcg/kg/min IV; not to exceed 10 mg/kg;
adjust dose according to response.
Platelet Aggregation Inhibitors- Agents that irreversibly inhibit
platelet aggregation may improve morbidity.
Aspirin- 160-324 mg PO or chewed;
Vasodilators- Smooth-muscle relaxers and vasodilators that can
reduce systemic vascular resistance, allowing more forward flow and
improving cardiac output.
Nitroglycerin- 10-20 mcg/min IV infusion.
Analgesics- Pain control
Morphine sulphate
Diuretics- drugs cause diuresis to decrease plasma volume and
edema and thereby decrease cardiac output BP
Furosemide (Lasix)- 40-80 mg/d IV/IM
7. Natriuretic peptide- These drugs cause arterial and venous dilation
by binding to cyclic GMP receptor on vascular smooth muscle
causing smooth muscle relaxation.
Nesiritide- Initial 2 mcg/kg IV bolus over 30 min followed by
continuous infusion at 0.01 mcg/kg/min
Medical procedures
Medical procedures to treat cardiogenic shock usually focus on
restoring blood flow through heart. They include:
Angioplasty and stenting. Emergency angioplasty opens blocked
coronary arteries, letting blood flow more freely to heart. Doctors
insert a long, thin tube (catheter) that's passed through an artery,
usually in leg, to a blocked artery in heart. This catheter is equipped
with a special balloon tip. Once in position, the balloon tip is briefly
inflated to open up a blocked coronary artery. At the same time, a
metal mesh stent may be inserted into the artery to keep it open
long term, restoring blood flow to the heart. Depending on
condition, doctor may opt to place a stent coated with a slowreleasing medication to help keep your artery open.
Balloon pump. Depending on condition, doctors may choose to
insert a balloon pump in the main artery of heart (aorta). The balloon
pump inflates and deflates to mimic the pumping action of your
heart, helping blood flow through.
Surgery
If medications and medical procedures don't work to treat
cardiogenic shock, your doctor may recommend surgery.
Coronary artery bypass surgery. Bypass surgery involves sewing
veins or arteries in place at a site beyond a blocked or narrowed
8. coronary artery (bypassing the narrowed section). This restores
blood flow to the heart.
Surgery to repair an injury to your heart. Sometimes, an injury in
heart, such as a tear in one of heart's chambers or a damaged heart
valve, can cause cardiogenic shock. If an injury is causing cardiogenic
shock, doctor may recommend surgery to correct the problem.
Heart pumps. These mechanical devices, called left ventricular assist
devices (LVADs), are implanted into the abdomen and attached to a
weakened heart to help it pump. Implanted heart pumps can
significantly extend and improve the lives of some people with endstage heart failure who aren't eligible for or able to undergo heart
transplantation or are waiting for a new heart.
Heart transplant. If heart is so damaged that no other treatments
work, a heart transplant may be a last resort for treating cardiogenic
shock.