Management of cardiogenic shock complicating acute myocardial infarction.

Eur Heart J Acute Cardiovasc Care

Department of Intensive Care Medicine and Cardiology, Antwerp University Hospital, University of Antwerp, Belgium.

Published: June 2015

AI Article Synopsis

  • Cardiogenic shock happens in about 5-10% of heart attacks and is very serious.
  • The best treatment is to quickly restore blood flow to the heart, but some medicines can help stabilize the heart even though they might make it need more oxygen.
  • Recently, using machines to help the heart has become more common, but there’s not a lot of research yet about the best types of machines to use.

Article 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.

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Source
http://dx.doi.org/10.1177/2048872614568294DOI Listing

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