In this episode, Dr. Sergio Zanotti discusses emergency management and resuscitation of patients with left-sided Impella support. We will base our discussion on a recently published United Kingdom multisociety consensus statement. Our guests for this episode are two of the authors of this consensus statement.Dr. Zanotti is joined by Dr. Waqas Akhtar, a consultant at Guy's & St Thomas' NHS Foundation Trust in the United Kingdom. Dr. Akhtar completed full postgraduate certification in Cardiology, Intensive Care & General Internal Medicine with a particular interest in cardiogenic shock, heart transplantation, and mechanical circulatory support. He is also joined by Dr. Vasileios Panoulas, a consultant cardiologist at Royal Brompton & Harefield NHS Trust and honorary senior clinical lecturer at Imperial College London. He has clinical expertise that encompasses both general and interventional cardiology.Additional resources:UK multisociety consensus statement on the emergency management and resuscitation of patients with left-sided Impella support: https://heart.bmj.com/content/early/2025/12/17/heartjnl-2025-326896Microaxial Flow Pump or Standard Care in Infarct-Related Cardiogenic Shock. DanGer Shock Investigators: https://www.nejm.org/doi/full/10.1056/NEJMoa2312572Effect of Microaxial Flow Pump on Hemodynamics in STEMI-Related Cardiogenic Shock. DanGer Shock Investigators: https://www.jacc.org/doi/abs/10.1016/j.jacc.2025.04.062Long-Term Outcomes of the DanGer Shock Trial. DanGer Shock Investigators: https://pubmed.ncbi.nlm.nih.gov/40888722/Music mentioned in this episode:Unlearning. By Teddy Swims. [https://www.amazon.com/Unlearning-Teddy-Swims/dp/B096TRTRVR/ref=sr_1_2?crid=YVQGYQ768N5Y&dib=eyJ2IjoiMSJ9._NA1GMm_CKB7H0oBRpQFuEVn9mh4rVGfgEBPM5ZOBI2UH7TLuCnvk1UXEz1l8yZtZ2P3473FeVoPO_cIfFgMfx7W1B3VuCDgOtCbU27n_KRskWWOmK1kM5IsZsFWqNfFmxAaQovt8BKAsXOkkCGPBrzpJ0dBZhwNUgEbcRnW8532UhBknHkUPp_RvPmA_4Jm23WTIBymO6yQmUY2S6RWAR8LzzApr_aiShzHfdOi8V8.rrzjPsSZaTkfmFxUXXuQBHxugpdG98k_NC8HoJc54yk&dib_tag=se&keywords=Teddy+unlearning&qid=1773763757&sprefix=teddy+unlearning%2Caps%2C184&sr=8-2]Minute a Moment. By Myles Smith. [https://www.amazon.com/Minute-Moment-Myles-Smith/dp/B0F6VXGB26/ref=sr_1_2?crid=1HF04N0B8TJYJ&dib=eyJ2IjoiMSJ9.skxNq4rN2r7zMLTfEFlr3a7RJE4YLPX5J1-7b4ZK1Xr__dTZh_nKywu3I7zFQ5UccEO-B2dK06lGDSgPy2fJ9ERFtpeug3RTYLB35OlJPMSvsajkVDlWNXhXQBZ7Sa3hOOkE3MikLMRgHNL0z14oUA.qLD2-2Hej1KERoL3pp-J2ZFQPJ5LtP_yRAQBzvTbPXY&dib_tag=se&keywords=myles+smith+a+minute+a+moment&qid=1773764196&sprefix=myles+smith+a+minute+a+moment%2Caps%2C127&sr=8-2]Sable, Fable. By Bon Iver. [https://www.amazon.com/Sable-Fable-Bon-Iver/dp/B0DWT6MPVB/ref=pd_sbs_d_sccl_1_1/139-4346088-5189726?pd_rd_w=EA3jv&content-id=amzn1.sym.aa738fbd-ad05-4d11-aae2-04b598db6305&pf_rd_p=aa738fbd-ad05-4d11-aae2-04b598db6305&pf_rd_r=HSX3NG0QT7RX42C7Z7CJ&pd_rd_wg=WwdLe&pd_rd_r=067b1e38-a2b9-40fe-996c-fb4181015b9e&pd_rd_i=B0DWT6MPVB&psc=1]