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Postgraduate Education Corner: Pulmonary, Critical Care, and Sleep Pearls |

A 64-Year-Old Man With Refractory Hypoxemia in Cardiogenic ShockA 64-Year-Old Man With Refractory Hypoxemia

Kelly A. Cawcutt, MD; Michael E. Wilson, MD; Kimberly J. Carter, MD; Fabien Maldonado, MD
Author and Funding Information

From the Division of Pulmonary and Critical Care (Drs Cawcutt and Maldonado), and the Department of Internal Medicine (Drs Wilson and Carter), Mayo Clinic, Rochester, MN.

Correspondence to: Fabien Maldonado, MD, Mayo Clinic, 200 First St SW, Rochester, MN 55905; e-mail: maldonado.fabien@mayo.edu


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;143(6):1819-1821. doi:10.1378/chest.12-2433
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A 64-year-old man was transferred from an outside hospital for ST elevation myocardial infarction complicated by cardiogenic shock and postinfarction ventricular septal defect (VSD). He was intubated during transfer, admitted to the coronary care unit, and an intraaortic balloon pump was placed. His medical history included obesity, prior coronary artery bypass graft surgery, hypertension, dyslipidemia, and type 2 diabetes mellitus. Medications included aspirin, carvedilol, valsartan, amlodipine, and pravastatin.

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