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so the goal of mechanical circulatory support is to restore cardiac output and preserve end organ function youamp;#39;re trying to take over the work of the heart so everything Iamp;#39;m going to talk to you about today weamp;#39;re primarily thinking about cardiac output when I talk about hemodynamic parameters and what the goal of the actual intervention is most of the time when weamp;#39;re talking about cardiogenic shock particularly in the post mi patient with cardiogenic shock in addition to just providing cardiac output you also want to offload the left ventricle so if you have someone who comes in with a massive anterior mi has it STEMI we revascularize them but theyamp;#39;re in shock as a result the left ventricle the malcar diem is now experiencing reperfusion injury and theyamp;#39;re usually volume overloaded so the ventricle gets stretched and therefore the myocardial demand is higher if you can actually offload the left ventricle shrink down decrease the LVAD P th
