Document Detail


Management of cardiogenic shock attributable to acute myocardial infarction in the reperfusion era.
MedLine Citation:
PMID:  16061902     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cardiogenic shock is the leading cause of death among patients hospitalized with acute myocardial infarction. It is defined as tissue hypoperfusion resulting from ventricular pump failure in the presence of adequate intravascular volume. Rapid assessment and triage of patients presenting in cardiogenic shock followed by appropriate institution of supportive therapies including vasopressor and inotropic agents, mechanical ventilatory support, and intra-aortic balloon pump counterpulsation are critical for effective management of these patients. However, emergency percutaneous coronary intervention or coronary artery bypass graft surgery is required to decrease mortality rates. Novel approaches, including inhibition of nitric oxide synthase and new mechanical support devices, may further decrease mortality rates, which remain high despite reperfusion therapy.
Authors:
Claire S Duvernoy; Eric R Bates
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of intensive care medicine     Volume:  20     ISSN:  0885-0666     ISO Abbreviation:  J Intensive Care Med     Publication Date:    2005 Jul-Aug
Date Detail:
Created Date:  2005-08-02     Completed Date:  2005-11-07     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8610344     Medline TA:  J Intensive Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  188-98     Citation Subset:  IM    
Affiliation:
Division of Cardiovascular Medicine and Department of Internal Medicine, University of Michigan, Ann Arbor, MI 48109, USA.
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MeSH Terms
Descriptor/Qualifier:
Algorithms
Humans
Intra-Aortic Balloon Pumping / methods
Myocardial Revascularization / methods
Resuscitation / methods
Shock, Cardiogenic / diagnosis,  physiopathology,  therapy*
Thrombolytic Therapy / methods

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


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