Document Detail

Management strategies for cardiogenic shock.
MedLine Citation:
PMID:  15502507     Owner:  NLM     Status:  MEDLINE    
PURPOSE OF REVIEW: Cardiogenic shock remains the most serious complication of acute MI, with an incidence of 6 to 8% and a 30-day mortality rate that remains close to 50%. While cardiogenic shock is due primarily to left ventricular failure, other causes such as acute mitral regurgitation and ventricular septal rupture must always be considered as emergency surgery may be life saving. The purpose of this review is to summarize recent advances in the care of these critically ill patients including the consideration of etiology and pathophysiology as well as the influence of age and adjunctive therapies. RECENT FINDINGS: Early revascularization is now an American College of Cardiology/American Heart Association guideline class 1 indication for percutaneous coronary intervention (PCI) particularly for younger patients in cardiogenic shock. Recent studies suggest there may also be a benefit in elderly patients with cardiogenic shock. SUMMARY: Prompt triage of all patients in cardiogenic shock for early angiography, intra-aortic balloon pump counterpulsation, and early revascularization with PCI or bypass surgery is now the preferred management strategy.
Timothy A Sanborn; Ted Feldman
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in cardiology     Volume:  19     ISSN:  0268-4705     ISO Abbreviation:  Curr. Opin. Cardiol.     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-10-25     Completed Date:  2005-05-19     Revised Date:  2006-05-04    
Medline Journal Info:
Nlm Unique ID:  8608087     Medline TA:  Curr Opin Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  608-12     Citation Subset:  IM    
Division of Cardiology , Evanston Northwestern Healthcare, and Department of Medicine, Northwestern University, Feinberg School of Medicine, Evanston, Illinois 60201, USA.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary / methods*,  standards
Life Support Systems / standards
Shock, Cardiogenic / mortality,  therapy*
Survival Rate

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

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