Case Study: ECpella for the Cardiogenic Shock Patient

A 42-year-old male with no significant past medical history presented to an outside hospital with viral-like symptoms and chest pain. COVID test was found to be negative. In the ED, he was in atrial fibrillation with rapid ventricular rate and was treated with diltiazem and amiodarone drip. He was originally placed on bilevel positive airway pressure (BIPAP) ventilation. Over the course of the next 24 hours, his condition worsened requiring intubation, and he was found to be in cardiogenic shock with a LV EF of <20%.