Fig. 4

Protocol of selection and escalation of temporary mechanical circulatory support. CAG cardiogenic shock, IABP intra-aortic balloon pumping, ROSC return of spontaneous circulation, VA-ECMO venoarterial extracorporeal membrane oxygenation, ECPELLA combination of VA-ECMO and Impella, LVEF left ventricular ejection fraction, LVEDP left ventricular end-diastolic pressure, CPO Cardiac power output, PCI percutaneous coronary intervention, PAC pulmonary artery catheter, VT ventricular tachycardia, Vf ventricular fibrillation, sBP systolic blood pressure, mBP mean blood pressure, CCU cardiovascular care unit