Pulmonary Hypertension with “Normal” Pulmonary Vascular Resistance

Abstracts not available for Perspectives

Houston SHOCK: A Practical Scoring System Incorporating Cardiogenic Shock Dynamic Changes

Cardiogenic shock has an unacceptably high mortality rate and additional tools are needed to improve outcomes. The Society of Cardiovascular Angiography and Interventions (SCAI) shock severity classification has provided a unified definition of shock severity that has proven to be reproducible and predictive of survival. However, cardiogenic shock assessment goes beyond standardizing its severity, and a uniform and practical approach to comprehensive assessment that may guide therapy in a dynamic state is currently lacking. Since cardiogenic shock is a rapidly evolving pathophysiological catastrophe, we propose a new assessment tool – the Houston SHOCK Score – which incorporates dynamic changes. The acronym SHOCK can be used to emphasize five key aspects of patients in cardiogenic shock: Severity, Hemodynamics, Onset, Causes, and Kinetics. We believe this tool provides physicians with vital information that will facilitate appropriate care by incorporating dynamic changes in the patient’s profile

Feasibility of the use of a Stereoscopic Camera In the Final Inclusion (SCI-FI) of Donor Organ Assessment Using Virtual Reality Technology

Objective: Donor organ assessment is challenging, particularly when physicians and surgeons have to make decisions remotely. To improve communication and preparation for the transplant process, we proposed that a versatile, secure, and transportable video presence would enable a detailed assessment of donor organs. Methods: A virtual reality camera with a 360-degree visualization range was used with a smartphone receiver to enable integral assessment of the donor\u27s heart in the operating room, with visualization of the organs in real time. Prospective, observational data was collected in two cases in this proof-of-concept study. An assessment physician evaluated the donor heart remotely, and the assessment physician’s conclusions were compared to the transplanting surgeon. Results: The assessment physician was able to adjust the view, angle, contrast, and zoom of the images independently and deemed the organs suitable for transplant, which correlated in a blinded fashion with the procurement surgeon’s independent assessment. Discussion: Usage of 360-degree high definition cameras and real-time, three-dimensional mobile receivers may be a feasible approach to apply to organ procurement, allowing physicians located remotely from the procurement center to participate and assist in the final intraoperative assessment for organ acceptance