Interventional therapies in acute myocardial infarction complicated by cardiogenic shock

• Published in: Herz Vol. 42; no. 1; pp. 11 - 17
• Main Authors: de Waha, S., Desch, S., Fuernau, G., Pöss, J., Ledwoch, J., Jobs, A., Eitel, I., Thiele, H.
• Format: Journal Article
• Language: English
• Published: Munich Springer Medizin 01.02.2017; Springer Nature B.V
• Subjects: Cardiology; Coronary Artery Disease - diagnosis; Coronary Artery Disease - etiology; Coronary Artery Disease - surgery; Critical Care - methods; Evidence-Based Medicine; Humans; Internal Medicine; Main Topic; Medicine; Medicine & Public Health; Myocardial Revascularization - methods; Shock, Cardiogenic - diagnosis; Shock, Cardiogenic - etiology; Shock, Cardiogenic - surgery; Treatment Outcome; Kardiogener Schock; Interventionelle Behandlung; Interventional management; Acute myocardial infarction; Cardiogenic shock; Akuter Myokardinfarkt
• ISSN: 0340-9937; 1615-6692
• DOI: 10.1007/s00059-016-4511-8

Cardiogenic shock remains the most common cause of death in patients with acute myocardial infarction. Early revascularization of the infarct-related artery has been shown to reduce mortality and is the therapeutic cornerstone. The optimal revascularization strategy of additional non-culprit lesions remains yet to be determined. Further, uncertainties exist with respect to access site choice, antiplatelet regimen as well as mechanical support devices. This review outlines current evidence on the interventional management of cardiogenic shock complicating acute myocardial infarction.