Abstract
Cardiogenic shock (CS) is a leading cause of in-hospital mortality in patients admitted for acute myocardial infarction (AMI). CS is a condition of sustained hypotension requiring administration of catecholamines along with signs of impaired end-organ perfusion. Hemorrhagic shock due to bleeding complications should be strongly considered as a possible reason for shock in patients undergoing pharmacological or mechanical reperfusion. CS in patients with acute coronary syndromes without ST-segment elevation is associated with rates of mortality similar to those in patients with ST-elevation myocardial infarction (STEMI). The main goal of mechanical circulatory support in patients with CS is to improve the hemodynamics and the metabolic condition. CS is a dreadful complication of AMI. Introduction of and advances in revascularization techniques resulted in both decrease in CS incidence and improvement of outcomes.
Original language | English (US) |
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Title of host publication | Urgent Interventional Therapies |
Publisher | Wiley Blackwell |
Pages | 152-170 |
Number of pages | 19 |
ISBN (Print) | 9781118504499, 9780470672020 |
DOIs | |
State | Published - Nov 17 2014 |
Externally published | Yes |
Keywords
- Acute myocardial infarction (AMI)
- Cardiogenic shock (CS)
- Hemodynamic support
- ST-elevation myocardial infarction (STEMI)
ASJC Scopus subject areas
- General Medicine