Hemodynamic Physiology in Advanced Heart Failure and Cardiogenic Shock

Dr Lim is a Consultant Cardiologist specializing in advanced heart failure, heart transplantation and mechanical circulatory support. Dr Lim has full certification with the ESC Acute Cardiovascular Care Association and is the Director of the ECMO program at the Queen Elizabeth Hospital Birmingham. Nationally, Dr Lim is currently the Deputy Director of the UK Cardiothoracic Advisory Group for Heart Transplantation. Internationally, he is the current Chair of the Standards and Guidelines Committee for the International Society for Heart and Lung Transplantation and a committee member on the Advanced Heart Failure Task Force of the ESC Heart Failure Association. He has authored over 100 peer reviewed publications including international guidelines and consensus documents on heart transplantation, cardiogenic shock and mechanical circulatory support.

Introduction.- Interventional heart failure cardiology.- Revisiting cardiovascular physiology.- Guyton, pressure-volume loops and regulation of cardiac output.- Filling pressures.- The left heart system.- The right heart system.- Hemodynamics to perfusion.- Inotropes and vasodilators.- Extracorporeal membrane oxygenation.- Ventricular assist devices.- What is advanced heart failure?.- The advanced heart failure - cardiogenic shock continuum.- Classification of advanced heart failure and cardiogenic shock.- Hemodynamic phenotyping of advanced heart failure and cardiogenic shock.- Hemodynamic management in the cardiogenic shock 'journey' (ROSE).- Recognize and rescue.- Optimization and Stabilization.- Heart transplantation.- Durable left ventricular assist devices.- Weaning and liberation from mechanical circulatory support.- Service delivery.- Summary/Conclusion.