The use of temporary mechanical circulatory support (tMCS) in cardiogenic shock patients has increased during the last decades with most management strategies relying on observational studies and expert opinion, including hemodynamic monitoring, device selection, and timing of support institution/duration. In this context, imaging has a pivotal role throughout the patient pathway, from identification to initiation, monitoring, and weaning. This manuscript summarizes the consensus of an expert panel from the European Society of Cardiology Association for Acute CardioVascular Care, the European Association of CardioVascular Imaging, and the European Extracorporeal Life Support Organization, providing the rationale for and practical guidance of imaging to tMCS based on existing evidence and consensus on best current practice.

• MeSH
• Adult MeSH
• Shock, Cardiogenic * therapy   diagnostic imaging   MeSH
• Consensus * MeSH
• Humans MeSH
• Extracorporeal Membrane Oxygenation MeSH
• Heart-Assist Devices * MeSH
• Societies, Medical MeSH
• Check Tag
• Adult MeSH
• Humans MeSH
• Male MeSH
• Female MeSH
• Publication type
• Journal Article MeSH
• Consensus Development Conference MeSH
• Review MeSH
• Geographicals
• Europe MeSH

Echokardiografie je stále více využívána jako rychlé vyšetření u pacientů s akutními kardiovaskulárními stavy. Takové vyšetření je prováděno lékaři s různorodými specializacemi. Článek je věnován této problematice, zejména rychlým vyšetřením nemocných s akutní bolestí na hrudi, akutním srdečním selháním, šokovými stavy, plicní embolií, srdeční tamponádou, komplikacemi infarktu myokardu, akutním onemocněním ascendentní aorty i dalšími akutními kardiovaskulárními stavy a onemocněními nebo podezřením na ně.

Echocardiography is increasingly used as a rapid examination tool in patients with acute cardiovascular conditions. Such examination is carried out by doctors with various specializations. The article deals with this issue, particularly with the rapid examination of patients with acute chest pain, acute heart failure, shock states, pulmonary embolism, cardiac tamponade, complications of myocardial infarction, acute disease of the ascending aorta as well as other acute cardiovascular conditions and diseases or of those suspected to have them.

• MeSH
• Acute Disease MeSH
• Chest Pain diagnostic imaging   MeSH
• Dyspnea diagnostic imaging   MeSH
• Echocardiography * methods   MeSH
• Hypotension diagnostic imaging   MeSH
• Shock, Cardiogenic diagnostic imaging   MeSH
• Ventricular Dysfunction diagnostic imaging   MeSH
• Humans MeSH
• Blood Pressure Determination methods   MeSH
• Emergencies * MeSH
• Heart Valve Diseases diagnostic imaging   MeSH
• Pericardial Effusion diagnostic imaging   MeSH
• Heart Arrest diagnostic imaging   MeSH
• Check Tag
• Humans MeSH

• MeSH
• Child MeSH
• Hypertension diagnosis   drug therapy   physiopathology   MeSH
• Shock, Cardiogenic diagnostic imaging   etiology   physiopathology   MeSH
• Humans MeSH
• Critical Care MeSH
• Arrhythmias, Cardiac diagnostic imaging   drug therapy   physiopathology   MeSH
• Heart Failure * diagnostic imaging   drug therapy   MeSH
• Check Tag
• Child MeSH
• Humans MeSH

AIM: To highlight an optimal collaborative strategy of three different levels of specialized care cardiac centres. BACKGROUND: Refractory cardiogenic shock is a life-threatening condition. A myocardial recovery is not achieved in many cases despite all efforts and subsequently the heart transplantation remains an ultimate option. Thereby, the use of extracorporeal membrane oxygenation (ECMO) followed by a ventricular assist device in staged bridging provides an attractive approach. CASE REPORT: We report on an optimal cooperation of PCI (percutaneous coronary intervention) centre with ELSO (extracorporeal life support organization) centre and transplant centre in a patient suffering from refractory cardiogenic shock due to acute myocardial infarction (RCSMI) complicated by left ventricle free wall rupture with pericardial tamponade. CONCLUSION: The interhospital collaboration can be essential in the context of patients with RCSMI. The use of ECMO enables safe interhospital transport and gains time for further diagnostic and therapeutic steps in such critically ill patients.

• MeSH
• Assisted Circulation MeSH
• Angioplasty, Balloon, Coronary methods   MeSH
• ST Elevation Myocardial Infarction diagnostic imaging   therapy   MeSH
• Interinstitutional Relations MeSH
• Shock, Cardiogenic diagnostic imaging   therapy   MeSH
• Coronary Care Units MeSH
• Middle Aged MeSH
• Humans MeSH
• Extracorporeal Membrane Oxygenation methods   MeSH
• Heart-Assist Devices MeSH
• Heart Rupture, Post-Infarction therapy   MeSH
• Heart Transplantation * MeSH
• Check Tag
• Middle Aged MeSH
• Humans MeSH
• Male MeSH
• Publication type
• Journal Article MeSH
• Case Reports MeSH