History of nonischemic cardiomyopathy (nicm) s/p left ventricular assist device (lvad) now pod#0 s/p ohtx and lvad explant complicated by coagulopathy requiring open chest and post-operative rv dysfunction (total ischemic time 240 minutes) and vasoplegic shock (pre-op entresto and amiodarone).He is being seen for cardiogenic/vasoplegic shock, acute systolic right heart failure, metabolic lactic acidosis, aki, coagulopathy, and acute blood loss anemia.These conditions carry a high risk of causing imminent and/or life-threatening deterioration in the patient's condition and require my personal management in the intensive care unit.
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