| Cardiogenic shock. | |
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MedLine Citation:
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PMID: 18158480 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Cardiogenic shock is the most common cause of death in patients hospitalized with acute myocardial infarction and is associated with a poor prognosis. More than 75% of cases are due to extensive left ventricular infarction and ventricular failure. Other causes include right ventricular infarction and papillary muscle rupture with acute severe mitral regurgitation. Activation of neurohormonal systems and the systemic inflammatory response worsens shock. To improve outcomes, cardiogenic shock needs to be recognized early in its course and its cause needs to be diagnosed rapidly. Treatment strategies using intra-aortic balloon counterpulsation and emergency revascularization by percutaneous coronary interventions or coronary bypass surgery have been shown to improve outcomes. To decrease the incidence of cardiogenic shock, public education regarding early presentation to hospital in the course of acute chest pain is important. Emergency medical transport systems may need to take patients with complicated acute myocardial infarction to hospitals with the capability to perform urgent revascularization. |
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Authors:
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Simon Topalian; Fredric Ginsberg; Joseph E Parrillo |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Critical care medicine Volume: 36 ISSN: 1530-0293 ISO Abbreviation: Crit. Care Med. Publication Date: 2008 Jan |
Date Detail:
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Created Date: 2007-12-25 Completed Date: 2008-02-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0355501 Medline TA: Crit Care Med Country: United States |
Other Details:
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Languages: eng Pagination: S66-74 Citation Subset: AIM; IM |
Affiliation:
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Cooper University Hospital, Camden, NJ, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Combined Modality Therapy Emergency Treatment Heart Rupture, Post-Infarction / complications Hemodynamics Humans Intra-Aortic Balloon Pumping Mitral Valve Insufficiency / complications Myocardial Infarction / complications* Myocardial Revascularization Shock, Cardiogenic / etiology, physiopathology, therapy* Thrombolytic Therapy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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