Management of cardiogenic shock complicating acute myocardial infarction

Cardiogenic shock complicates approximately 5–10% of cases with acute myocardial infarction and carries a poor prognosis. Early revascularization remains the cornerstone treatment of cardiogenic shock complicating myocardial infarction. Inotropic and/or vasopressor agents can be used for haemodynami...

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Published inEuropean Heart Journal: Acute Cardiovascular Care Vol. 4; no. 3; pp. 278 - 297
Main Authors Van Herck, Jozef L, Claeys, Marc J, De Paep, Rudi, Van Herck, Paul L, Vrints, Christiaan J, Jorens, Philippe G
Format Book Review Journal Article
LanguageEnglish
Published London, England SAGE Publications 01.06.2015
Subjects
Assisted Circulation - methods
Disease Management
Humans
Mechanical Thrombolysis - methods
Myocardial Infarction - complications
Myocardial Infarction - therapy
Percutaneous Coronary Intervention - methods
Randomized Controlled Trials as Topic
Shock, Cardiogenic - complications
Shock, Cardiogenic - therapy
mechanical circulatory support
Cardiogenic shock
myocardial infarction
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Abstract Cardiogenic shock complicates approximately 5–10% of cases with acute myocardial infarction and carries a poor prognosis. Early revascularization remains the cornerstone treatment of cardiogenic shock complicating myocardial infarction. Inotropic and/or vasopressor agents can be used for haemodynamic stabilization, although this comes at the expense of increased myocardial oxygen consumption and extended myocardial ischaemia. In recent years, the use of mechanical circulatory support has significantly increased. However, there is only limited data available from randomized trials evaluating the different percutaneous support systems. This review summarizes the available literature concerning the management of cardiogenic shock and gives an overview of the recommendations of the European and German–Austrian guidelines on cardiogenic shock.
AbstractList Cardiogenic shock complicates approximately 5-10% of cases with acute myocardial infarction and carries a poor prognosis. Early revascularization remains the cornerstone treatment of cardiogenic shock complicating myocardial infarction. Inotropic and/or vasopressor agents can be used for haemodynamic stabilization, although this comes at the expense of increased myocardial oxygen consumption and extended myocardial ischaemia. In recent years, the use of mechanical circulatory support has significantly increased. However, there is only limited data available from randomized trials evaluating the different percutaneous support systems. This review summarizes the available literature concerning the management of cardiogenic shock and gives an overview of the recommendations of the European and German-Austrian guidelines on cardiogenic shock.
Author Vrints, Christiaan J
Van Herck, Paul L
De Paep, Rudi
Claeys, Marc J
Jorens, Philippe G
Van Herck, Jozef L
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  surname: De Paep
  fullname: De Paep, Rudi
  organization: Department of Intensive Care Medicine and Cardiology, Antwerp University Hospital, University of Antwerp, Belgium
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  givenname: Paul L
  surname: Van Herck
  fullname: Van Herck, Paul L
  organization: Department of Intensive Care Medicine and Cardiology, Antwerp University Hospital, University of Antwerp, Belgium
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  givenname: Christiaan J
  surname: Vrints
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  surname: Jorens
  fullname: Jorens, Philippe G
  organization: Department of Intensive Care Medicine and Cardiology, Antwerp University Hospital, University of Antwerp, Belgium
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Keywords mechanical circulatory support
Cardiogenic shock
myocardial infarction
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Snippet Cardiogenic shock complicates approximately 5–10% of cases with acute myocardial infarction and carries a poor prognosis. Early revascularization remains the...
Cardiogenic shock complicates approximately 5-10% of cases with acute myocardial infarction and carries a poor prognosis. Early revascularization remains the...
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SubjectTerms Assisted Circulation - methods
Disease Management
Humans
Mechanical Thrombolysis - methods
Myocardial Infarction - complications
Myocardial Infarction - therapy
Percutaneous Coronary Intervention - methods
Randomized Controlled Trials as Topic
Shock, Cardiogenic - complications
Shock, Cardiogenic - therapy
Title Management of cardiogenic shock complicating acute myocardial infarction
URI https://journals.sagepub.com/doi/full/10.1177/2048872614568294
https://www.ncbi.nlm.nih.gov/pubmed/25624526
https://search.proquest.com/docview/1696887304
Volume 4
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