78 year old male with PMH CAD MI x3 s/p PCI X3 in 18 years ago, dementia, p/w SOB cardiogenic shock Intubated for hypoxemic respiratory failure new MI suspected, new q waves elevated troponins Echo in the ER showed EF of 30-40%- septal and apical hypokinesis Cath showed LM occlusion by thrombus. There was complete occlusion of mid LAD stent.
PCI and then IABP for 24 hours with improvement
Repeated episodes of VT and Rxed for infection
Negative COVID