Cardiogenic shock: therapy and prevention

Clinical Cardiology
W L Barry, I J Sarembock

Abstract

Cardiogenic shock is defined as profound circulatory failure resulting in insufficient tissue perfusion to meet resting metabolic demands. It occurs in approximately 7.5% of patients with acute myocardial infarction. Treatment strategies include inotropic agents, use of intra-aortic balloon counterpulsation, and revascularization. Current evidence supports the use of primary angioplasty. Surgery should be considered in patients with triple-vessel disease. If early catheterization is not available, thrombolytic therapy should be given to eligible patients and transfer to an interventional facility should be considered. Effective therapy for shock must also include a prevention strategy. This requires identification of patients at high risk for shock development and selection of patients who are candidates for aggressive intervention.

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Related Concepts

Metabolic Process, Cellular
Myocardial Contraction
Treatment Protocols
Glucocorticoid Deficiency With Achalasia
Catheterization
Ventricular Dysfunction, Left
Shock
Myocardial Infarction
Inotropic agent
Intra-Aortic Balloon Pumping

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Cardiogenic Shock

Cardiogenic shock is a devastating consequence of acute myocardial infarction and is associated with an extremely high mortality. Here is the latest research.