| Cardiogenic shock: treatment. | |
| | |
MedLine Citation:
|
PMID: 17640544 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The treatment of cardiogenic shock complicating the acute coronary syndromes consists of medical therapy, percutaneous revascularization procedures, cardiac surgery, and the implantation of devices. Medical therapy is limited to different positive inotropic and vasoactive drugs, without any firm evidence of survival benefit using these drugs. Several new pharmacologic compounds are at different stages of clinical research, but are not yet routinely approved for the treatment of cardiogenic shock. The only evidence-based therapy with proven survival benefit is timely revascularization. Intra-aortic balloon pump counterpulsation maintains its central role as supportive treatment in cardiogenic shock patients. Anecdotal evidence is available about the use of ventricular assist devices, cardiac resynchronization therapy, and emergent heart transplantation. |
| | |
Authors:
|
Zaza Iakobishvili; David Hasdai |
Related Documents
:
|
626124 - Progressive nature of myocardial injury in selected patients with cardiogenic shock. 8574054 - Percutaneous left ventricular assist system using a modification of the dennis method: ... 18599494 - Decreasing incidence of critical limb ischemia after intra-aortic balloon pump counterp... 2624814 - Changes in phase analysis patterns of radionuclide ventriculograms obtained from baboon... 20238194 - Evaluation of the influence of age and gender on the relationships between infarct size... 20406044 - New insights into application of cardiac monophasic action potential. |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: The Medical clinics of North America Volume: 91 ISSN: 0025-7125 ISO Abbreviation: Med. Clin. North Am. Publication Date: 2007 Jul |
Date Detail:
|
Created Date: 2007-07-20 Completed Date: 2007-10-18 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 2985236R Medline TA: Med Clin North Am Country: United States |
Other Details:
|
Languages: eng Pagination: 713-27; xii Citation Subset: AIM; IM |
Affiliation:
|
Intensive Cardiac Care Unit, Department of Cardiology, Rabin Medical Center, Beilinson Campus, 39 Jabotinsky Street, Petah Tikva, Israel 49100. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Cardiovascular Agents
/
therapeutic use Counterpulsation Echocardiography Heart Catheterization Humans Myocardial Revascularization Shock, Cardiogenic / therapy* |
| Chemical | |
Reg. No./Substance:
|
0/Cardiovascular Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Pathophysiology of cardiogenic shock complicating acute myocardial infarction.
Next Document: New trials and therapies for acute myocardial infarction.