From Thrombolysis to Transplant: Navigating the Storm of Delayed <scp>STEMI</scp> and Cardiogenic Shock
Delayed STEMI presentation can cause extensive myocardial necrosis, left ventricular thrombus, cardiogenic shock, and progression to end-stage heart failure despite reperfusion. Early recognition and timely transfer to specialized shock centers are critical. In refractory cases, advanced mechanical circulatory support (VA-ECMO with Impella) may serve as a bridge to life-saving heart transplantation.
Authors
- Muhammad Usama Naveed (ORCID: https://orcid.org/0009-0009-1232-8656)
- Azka A Mirza
- Hamza Ishfaq (ORCID: https://orcid.org/0009-0000-1200-3717)
- Syed Rafay Hussain Zaidi
- Muhammad Sheraz Hameed
- Sadia Rekhum
- Ali Iqbal
- Muhammad Ahsan
- Muhammad Sohaib Alvi
Institutions
- St. Joseph Hospital (US)
- Valparaiso University (US)
- Rawalpindi Medical University (PK)
- Isra University (PK)
- CMH Lahore Medical College and Institute of Dentistry (PK)
- Thomas Jefferson University Hospital (US)
- Nangarhar University (AF)
- Saint Joseph Hospital (US)
- Parkview Medical Center (US)
- Pakistan Institute of Medical Sciences (PK)
Publication Details
- Journal
- Clinical Case Reports
- Published
- 2026-02-26
- DOI
- https://doi.org/10.1002/ccr3.72159
- Primary Topic
- Mechanical Circulatory Support Devices
- Type
- article
- Field-Weighted Citation Impact
- 0.00