AI Article Synopsis
- Cardiogenic shock (CHC) linked to acute myocardial infarction has traditionally had a very high mortality rate of 98%, which has improved to 53% with advanced reperfusion methods.
- Proper clinical stratification based on factors like age, infarction location, heart rate, and blood pressure can enhance treatment strategies.
- In patients with CHC, those with cardiac power below 1.0 after reperfusion showed significantly higher mortality rates, highlighting the importance of measuring myocardial work parameters.
Article Abstract
Cardiogenic shock (CHC) associated to acute myocardial infarct has high mortality and their manifestations are heterogenous. In our institution historical mortality, was 98%, but with different methods of reperfusion, its reduced to 53%. In other hand, with opportune clinical stratification is useful to improve the treatment strategy. This stratification on basis in clinical signs: age, infarction location, cardiac frequency and systemic arterial pressure, and hemodynamical valuation with the use of right catheterism with quantification miocardial work parameters like "Cardiac power" that is the product of flow and arterial pressure and that is of utility to know the "Miocardial reserve". In our experience after reperfusion procedure patients with CHC and cardiac power less than 1.0 had highly mortality.
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