Management of cardiogenic shock complicating myocardial infarction: an update 2019. (4th July 2019)

• Record Type: Journal Article
• Authors: Thiele, Holger; Ohman, E Magnus; de Waha-Thiele, Suzanne; Zeymer, Uwe; Desch, Steffen
• Is Part Of: European heart journal. Volume 40:Number 32(2019)
• Page Start: 2671
• Page End: 2683
• Publication Date: 2019-07-04
• Subjects: Shock -- Heart failure -- Treatment -- Percutaneous coronary intervention -- Myocardial infarction -- Assist device; Cardiology -- Periodicals; Heart -- Diseases -- Periodicals; 616.12005
• DOI: 10.1093/eurheartj/ehz363
• Languages: English
• ISSNs: 0195-668X

Abstract

Abstract: Cardiogenic shock (CS) remains the most common cause of death in patients admitted with acute myocardial infarction (AMI) and mortality remained nearly unchanged in the range of 40–50% during the last two decades. Early revascularization, vasopressors and inotropes, fluids, mechanical circulatory support, and general intensive care measures are widely used for CS management. However, there is only limited evidence for any of the above treatment strategies except for revascularization and the relative ineffectiveness of intra-aortic balloon pumping. This updated review will outline the management of CS complicating AMI with major focus on state-of-the art treatment.