Acute myocardial infarction is myocardial necrosis caused by interference of the coronary artery. Acute myocardial infarction complicated by cardiogenic shock is quite rare and occurs in only 5-10% of patients who then experience critically decreased myocardial contractility and low cardiac output.
The Impella 2.5 with SmartAssist are temporary ventricular support devices and are used in only high-risk percutaneous coronary interventions (1,2). This paper presents a case study in which Impella implementation is used as a treatment in an urgent acute myocardial infarction case.
The Impella 2.5 in conjunction with an Automated Impella Controller reported a great result in the treatment of myocardial infarction complicated by cardiogenic shock in a 51-year-old patient at the University Hospital Centre Rijeka.