Document Detail


Cardiogenic shock complicating myocardial infarction and outcome following percutaneous coronary intervention.
MedLine Citation:
PMID:  18972627     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cardiogenic shock is the commonest cause of death in acute myocardial infarction (AMI). Although the syndrome of cardiogenic shock complicating AMI is common to all, the spectrum of underlying pathology is broad. While thrombolysis can be attempted with inotropic support or augmentation of blood pressure with an intra-aortic balloon pump, the greatest mortality benefit is seen after urgent coronary angiography and early revascularization. The long-term SHOCK Trial six-year follow-up results confirm durability of early revascularization over medical stabilization in shock patients. Indeed, cardiogenic shock is a catheter laboratory emergency. Percutaneous left ventricular assist devices may provide an advance in the management of patients with left ventricular dysfunction and cardiogenic shock.
Authors:
Kaeng W Lee; Michael S Norell
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Acute cardiac care     Volume:  10     ISSN:  1748-2941     ISO Abbreviation:  Acute Card Care     Publication Date:  2008  
Date Detail:
Created Date:  2008-10-29     Completed Date:  2009-01-13     Revised Date:  2009-11-17    
Medline Journal Info:
Nlm Unique ID:  101276603     Medline TA:  Acute Card Care     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  131-43     Citation Subset:  IM    
Affiliation:
The Heart and Lung Centre, Wolverhampton Hospital NHS Trust, Wolverhampton, UK
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MeSH Terms
Descriptor/Qualifier:
Acute Coronary Syndrome / complications
Angioplasty, Transluminal, Percutaneous Coronary*
Bundle-Branch Block / complications
Coronary Angiography
Coronary Artery Bypass
Heart-Assist Devices
Humans
Mitral Valve Insufficiency / complications
Myocardial Infarction / complications*,  mortality,  therapy*
Shock, Cardiogenic / diagnosis,  etiology*,  mortality
Survival Analysis
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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