ICU/Critical Care/heart attack


My 31yr old brother had a massive heart attack on Christmas eve... he was in cath lab/surgery for 5hrs 4 stints were placed in him.... he had many blood clots n the doc said he didn't think he was gonna make it outta surgery..but he did n we got 2 talk with him so mentally he is fine but he has pneumonia n they had2 put him on a ventilator cause he couldn't get enough oxygen he is still on it as he also has a blood infection sinus infection n is on many antibiotics n other meds he obviously is seated cause of the ventilator... i asked the doc if he could possibly have a fungual infection n they said the cultures check for that... his EF is only 15% rite now but he is holding his own..BP keeps goin low.. i feel like he wouldn't of made it this far if he wasn't gonna pull threw but a long road of recovery..just wondering if he continues 2 use the ventilator is that gonna b bad?? Just lookin 4 an opinion about all of this.. thank u...

Dear Christie,

I am so sorry for what he is going through. At 31 years old, it is uncommon to suffer from a 5 vessel disease. Was he born with a heart condition? Is he morbidly obese? Was he tested for a blood clotting disorder? The ejection fraction of 15% is very low, meaning that his heart is not pumping adequately. Is he in a hospital that is capable of performing open heart surgery?

Unfortunately, I can not give you an answer. It is not the length of time on the ventilator that is the deciding factor of his recovery, but rather why he is on it. Is he septic? Have his blood cultures identified an organism? If you can get the answer to even some of the many questions I have asked, it will allow me to assist you with a prognosis.  

ICU/Critical Care

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Dr. Pamela M. Cipriano, DNP, ACNP-BC


My name is Dr. Cipriano. I am able to answer questions regarding critical care issues including the cardiac system, pulmonary system, gastrointestinal system, gallbladder, small bowel obstructions, crohn's disease, diverticulitis, general abdominal surgery, ventilator management, ARDS, dehydration, heart failure, kidney failure, shock. pneumona, surgical complications, disease process.


I am a Hospitalist at a local hospital and in the emergency department. I am on the Medical Staff. I round, admit, discharge, consult and assist with surgeries in the OR. I manage patients in the ICU and Med/Surg floors.

Society of Hospital Medicine American College of Nurse Practitioners Connecticut Advance Practice Nurse Society

Maryville University 2014-2016 Doctor of Nursing Practice University of Connecticut 2007-2011 MSN, Acute Care Track Nurse Practitioner. Board Certified September 2011 Central Connecticut State University 2002-2006 BA Psychology St. Mary's Hospital School of Nursing 1991-1993 Diploma Nursing Registered Nurse

Awards and Honors
Golden Key Honor Society; Merit Award Recipient; Scholarship Recipient

Past/Present Clients
Trained at Hartford Hospital, Hartford, CT - Open Heart Cardiac Intensive Care Post Anesthesia Care Unit & Radiology Internship Interned at MD Anderson Cancer Center in Texas Trained at St. Mary's Hospital, Waterbury, CT - emergency Department & Hospitalist Program

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