Question

A 65-year-old man with a history of diabetes, hypertension, and peripheral vascular disease presents to the emergency room after a car accident with chest pain and ST-segment elevations suggestive of a large anterior wall MI. While in the emergency room, he develops persistent hypotension with blood pressure reading 70/30 despite an infusion of epinephrine. He is taken to the catheterization lab for further management. Which of the following is an absolute contraindication to the placement of an IABP for cardiac support?

A) Cardiac contusion from the car accident
B) Aortic dissection from the impact of the seat belt
C) History of peripheral vascular disease requiring interventions for revascularization
D) Rupture of the papillary muscle during a large anterior wall MI
E) All of the above

Answer 1

The absolute contraindication to the placement of an IABP (intra-aortic balloon pump) for cardiac support in a 65-year-old man with a history of diabetes, hypertension, and peripheral vascular disease is All of the above.

Step-by-step explanation:

The absolute contraindication to the placement of an IABP (intra-aortic balloon pump) for cardiac support in a 65-year-old man with a history of diabetes, hypertension, and peripheral vascular disease is E) All of the above. Cardiac contusion from the car accident, aortic dissection from the impact of the seat belt, history of peripheral vascular disease requiring interventions for revascularization, and rupture of the papillary muscle during a large anterior wall MI are all serious conditions that can increase the risk of complications associated with the placement of an IABP.