Grand View Hospital has a partnership with LVHN, started in late 2019, for LVH Cardiology to provide around-the-clock interventional cardiology coverage of Grand View Health’s cardiac catheterization lab. LVHN cardiologists, assisted by nurses and technicians from Grand View perform procedures including stent placements, and vascular procedures.
Interventional cardiologist Shailendra Singh, MD, Co-Director of Interventional Vascular Cardiology at Lehigh Valley Heart and Vascular Institute, was on duty at Grand View Hospital that day.
Once at the hospital, Dave’s heart had regained rhythm, but his breathing was labored, and his oxygen level was very low which required immediate intubation with mechanical ventilation. An electrocardiogram (ECG) confirmed Dave’s heart attack and tests showed his left anterior descending artery was totally blocked, which caused his cardiac arrest. A cardiac arrest caused by a heart attack involving this blood vessel is commonly referred to as a ‘widow maker’ because of the high mortality rate, especially in cardiac arrest that occurs outside the hospital.
“Dave’s heart function decreased dramatically to 10 percent of what it should have been. Therefore, it was imperative to immediately fix the blockage while assessing if further therapies were necessary, such as a heart pump (officially called a left ventricular assist device), to allow the heart to recover while providing good blood flow to his organs and the rest of the body,” says Singh.
Singh immediately took Dave to the cardiac catheterization laboratory at Grand View and within 15 minutes was fixing the left anterior descending artery blockage which also involved another branch called the diagonal artery. Due to severe cardiac shock, Dave received a heart pump.