PMID: 8443990Mar 1, 1993

Cardiogenic shock: elements of etiology, diagnosis, and therapy

Clinical Cardiology
J S Alpert, R C Becker

Abstract

Cardiogenic shock usually is the result of marked depression in myocardial function. Rapid recognition and stabilization are essential if the patient is to survive. A variety of cardiovascular conditions can lead to cardiogenic shock; the most common of these is acute myocardial infarction. Once stabilization of the cardiogenic shock patient has been effected, hemodynamic monitoring and definitive therapy should be attempted if appropriate. Intra-aortic balloon counterpulsation is effective in stabilizing these patients temporarily. Definitive therapy may include surgical or catheterization interventions. Mortality, even under the best of circumstances, remains high.

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Related Concepts

Myocardial Infarction
Shock, Cardiogenic
Cardiovascular Diseases
Cardiomyopathies

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