Willy Frick @willyhfrick.bsky.social · 08/03/2025Agree RP could've been considered. She was hemodynamically stable until she wasn't and family asked for cessation of resuscitation efforts. RHC tracings attached. 100
Willy Frick @willyhfrick.bsky.social · 08/03/2025But hard to argue RV failure when wedge is high and RA is not. This is pre Impella. 100
Josh Krasnow @jmksnow.bsky.social · 09/03/2025thanks for RH. Yeah, PAPi ok, so not RV failure You can have spasm *and* CAD. So plaque rupture, embolization, and spasm d/t high catechol state Just poor flow in rPDA shouldn't have caused all that other possibility is ischemic MR but wedge not c/w that and Impella should have helped 🤷♂️ 110
