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The UTHealth Houston Cardiogenic Shock Team is available 24 hours a day, seven days a week, to assist with the immediate evaluation and management of cardiogenic shock patients. To speak with an on-call Cardiogenic Shock team member call (713) 704-4300.

Shock team

Our Cardiogenic Shock Specialists

UTHealth Houston and Memorial Hermann TMC

Program Clinic Locations

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Patient Transfers

About our Cardiogenic Shock program

Cardiogenic shock is a condition where the heart struggles to pump an adequate supply of blood to meet the body’s demands. While it often arises shortly after a severe heart attack, it can also be a result of cardiac surgery or an acute illness such as cardiomyopathy, characterized by a weakening of the heart muscle. In certain cases, patients with chronic heart failure may deteriorate into cardiogenic shock.

The timely treatment of patients with cardiogenic shock is essential to reestablish perfusion, which is the vital process of delivering blood to the body’s organs. This approach is crucial for preventing further decline and allowing the heart to recover. At UTHealth Houston, we deploy mechanical circulatory support devices as needed, either to provide temporary assistance to the heart during the recovery process or as a bridge towards long-term therapies, which may encompass heart transplantation. Evidence shows that prompt intervention with mechanical support, when appropriately indicated for cardiogenic shock patients, significantly enhances patient outcomes.

Advanced treatment options

ELSO Platinum level of ExcellenceOur Cardiogenic Shock and Percutaneous Mechanical Circulatory Support Pprogram is at your service around the clock, seven days a week, providing immediate evaluation and management for cardiogenic shock patients.

  • Coronary artery bypass grafting (CABG): A surgical procedure to restore blood flow to the heart by creating new pathways for blood to bypass blocked arteries.
  • Extracorporeal membrane oxygenation (ECMO): A life support system that temporarily takes over the heart and lung functions to provide oxygen to the body, typically used for severe heart or lung failure.
  • High-risk percutaneous coronary intervention (PCI): A minimally invasive procedure to open narrowed or blocked coronary arteries, typically considered for patients at higher risk for traditional open-heart surgery.
  • Intra-aortic balloon pump (IABP): A mechanical device inserted into the aorta to improve blood flow in patients with heart conditions.
  • Impella 5.5: An advanced heart pump designed to provide full circulatory support, assisting the heart in pumping blood in patients with severe heart failure.
  • Impella CP®: A smaller heart pump used to temporarily assist the heart during high-risk procedures or in cases of heart failure.
  • Medical management for heart failure: Non-surgical approaches, including medications and lifestyle changes, to help manage and improve heart failure symptoms.
  • MitraClip®: A minimally invasive procedure that repairs the mitral valve in the heart, improving blood flow and reducing symptoms of heart failure.
  • Transcatheter aortic valve replacement (TAVR): A procedure that replaces a narrowed aortic valve with a new valve through a catheter, avoiding the need for open-heart surgery.
  • Ventricular assist device (VAD) implant: A surgically implanted mechanical pump that assists the heart in pumping blood, often used as a bridge to transplant or destination therapy for end-stage heart failure.
  • Valve repair/replacements: Surgical procedures to repair or replace damaged heart valves, ensuring proper blood flow through the heart.
  • Transplant: If all fails, in certain situations our team will do emergent evaluation for heart transplant.

UTHealth Houston has been distinguished as an ECMO Platinum Level Center of Excellence, a testament to our extensive experience and successful outcomes in various conditions that lead to cardiogenic shock.

Request an evaluation

News - Jumean - 2023At UTHealth Houston, the cardiogenic shock team is a collaborative effort uniting the skills of cardiologists and cardiac surgeons, dedicated to promptly addressing patients in severe cardiogenic shock. With a single phone call, our team of renowned surgical, interventional, and medical specialists assembles, efficiently collecting patient information to prescribe the most effective therapy.

The cardiogenic shock team at UTHealth Houston is the ideal point of contact for patients who exhibit:

  • Sustained hypotension (systolic blood pressure [BP] less than 90 mm Hg for over 30 minutes)
  • Signs of tissue hypoperfusion, including a cool periphery (extremities cooler than the core), oliguria (< 30 mL/h), or both
  • Inadequate left ventricular (LV) filling pressure

 

For common questions or concerns, visit our FAQ page.

Why choose our program: The UTHealth Houston advantage

When you entrust your patient to our care, you grant them access to a team of highly specialized cardiogenic shock experts. Our dedicated team efficiently evaluates and prioritizes patients, ensuring prompt and focused care.

We believe in personalized medicine, and each patient receives a uniquely tailored treatment plan designed to address their specific needs. Our specialists can comprehensively assess your patient for potential heart transplant or left ventricular assist device candidacy.

The transition from our Cardiogenic Shock program to the UTHealth Houston Heart Failure Discharge Clinic and Advanced Therapies Referral Clinic is seamless, ensuring uninterrupted support for your patient. Subsequently, they receive continuous care at the Memorial Hermann Outpatient Cardiology Clinic.