Acute Circulatory Collapse and Advanced Therapies in Patients with COVID-19 Infection

Rishi Thaker, Aayush Shah, Ju Kim, Mahwash Kassi

Research output: Contribution to journalReview articlepeer-review


In the current era of the COVID-19 pandemic, intensive care patients with COVID-19 often develop respiratory failure and acute respiratory distress syndrome. While less frequent, acute circulatory collapse, with or without respiratory failure, has its own management challenges and nuances. Early identification of acute circulatory collapse requires appropriate imaging, particularly echocardiography, and precise diagnosis of cardiogenic shock using a Swan-Ganz catheter. Escalation to mechanical circulatory support (MCS), such as an intra-aortic balloon pump, Impella, and extracorporeal membrane oxygenation, has been useful in patients with acute circulatory collapse from COVID-19. This condition is associated with high morbidity and mortality, but early recognition of appropriate candidates for specific treatment strategies and escalation to MCS might improve outcomes.

Original languageEnglish (US)
Pages (from-to)43-52
Number of pages10
JournalMethodist DeBakey cardiovascular journal
Issue number5
StatePublished - 2021


  • COVID-19
  • ECMO
  • Impella
  • LVAD
  • circulatory collapse
  • mechanical circulatory support

ASJC Scopus subject areas

  • Medicine(all)


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