Discussion on CardioExchange: Treading Water During the Post-MI Waiting Period

Harlan Krumholz presents our latest case: A 60-year-old man with an inferior STEMI undergoes primary PCI. He has no sign of heart failure, but an echocardiogram reveals multiple regional wall-motion abnormalities and an LVEF of 33%. His doctors recommend a Zoll LifeVest for 90 days, then a repeat LVEF assessment to determine whether he may benefit from an ICD. Harlan asks, “Does your institution use the LifeVest strategy routinely during the waiting period after an MI?”

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