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OBJECTIVES: Upon completion of this activity, the participant should be able to: 

• Describe how left ventricular pressure-volume loops change in response to alterations of preload, afterload and contractility
• Describe the primary mechanism(s) and secondary hemodynamic effects surrounding an acute myocardial infarction that lead to cardiogenic shock
• Explain the impact of elevated CVP on mortality in patients with cardiogenic shock due to acute myocardial infarction and in cardiogenic shock due to decompensated chronic heart failure
• Compare the hemodynamic and metabolic effects of a percutaneous left ventricular assist device and ECMO circuit in the setting of cardiogenic shock

FACULTY DISCLOSURE: Daniel Burkhoff, MD has relevant financial interest(s) with Abiomed as a PI and received an Educational Grant, also with PV Loops as a Consultant and received consultant fees.

PLANNER DISCLOSURE:  Peter McCullough, MD does not have a relevant financial interest or affiliation with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.

ABIM REVIEWERS DISCLOSURE: All ABIM Reviewers do not have a relevant financial interest or affiliation with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on

ACCREDITATION: The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

DESIGNATION: The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health designates this live activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity

ABIM MOC:  Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0 Medical Knowledge MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

For assistance please contact Stacey Bishop at Stacey.Bishop@BSWHealth.org or 214.820.7911 / 214.412.0070 (cell