OmniSenseClinical
Aster Medcity · Kochi
Dr. Rajesh Menon CICU · Cardiologist · D001
RM

Your patients

11 patients · CICU + Cardiac Surgical Step-Down

Ms. Fatima Rahman, 28F · CICU 1 · Myocarditis
Mr. Sasi Pillai, 62M · CICU 12 · Post-PCI STEMI
Mrs. Latha Nair, 58F · CICU 8 · Decomp HFrEF
Mr. Hari Krishnan, 71M · CICU 3 · NSTEMI
Mr. Venu Rao, 68M · SD-4 · Pre-op CABG
Mr. K. George, 64M · CICU 5
Ms. Fatima Rahman Crashing ECMO decision · live
28F · CICU bed 1 · MRN AST-2026-04-1142 · Admitted today 04:18 (2h 50m ago)
Summary
Journey
Body
⚠
Active decision · awaiting cardiology lead call
VA-ECMO — cannulate now or wait 4 h?
Trajectory is unfavourable: EF 28 → 22, lactate 4.8 → 3.6 (slowing), MAP 62 on escalating inotropes, UO 38 → 18 mL/h, new RV strain on echo. ELSO criteria met for fulminant myocarditis bridge-to-recovery.
Apical 4-chamber view · global hypokinesia · RV strain
Aorta LA RA MV TV LV EF 22% global hypokinesia RV dilated strain pattern septum (bowed) apex A4C view 06:42 echo EF TREND 04:48 06:42 28 → 25 → 22%
Coronaries clean on emergency angio · this is inflammatory, not ischaemic. Influenza A swab positive, CRP 184. Bridge-to-recovery is the goal — most fulminant myocarditis recovers ventricular function with mechanical support and time.

Vitals trajectory · last 3 h

MAP
62
was 68 · on inotropes
HR
128
sinus tach
SpO₂
93%
6L NC
UO
18
mL/h · was 38
Lactate
3.6
slowing · was 4.8
EF
22%
was 28%
Multi-discipline team · on the floor
KM
Dr. Krishnamurthy
Cardiac surgery · ECMO lead
at bedside
SP
Sruthi Pillai
Senior perfusionist · circuit ready
at bedside
AJ
Dr. Anu Joseph
Cardiac anaesthesia · called
en route
LN
Lakshmi Nair (N001)
CICU charge nurse · assigned
at bedside
Reference: ELSO Adult Respiratory and Cardiac Failure 2023 · ESC Myocarditis Position Statement 2023 · Class IIa indication for VA-ECMO in fulminant myocarditis with cardiogenic shock refractory to inotropes.