Document Detail


New treatment strategies for cardiogenic shock in acute MI. Management options depend on the availability of a cath lab.
MedLine Citation:
PMID:  10148150     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Aggressive treatment strategies that include early revascularization may significantly improve survival from acute MI complicated by cardiogenic shock. Symptoms of impending cardiogenic shock include tachycardia, cool extremities, pallor, cyanosis, and a normal or low blood pressure. When possible, the right and left sides of the heart are catheterized immediately. For patients who need to be transferred to a hospital with a catheterization laboratory, use temporary support measures--intubation, administration of positive inotropic agents, and placement of an intra-aortic balloon pump. Coronary angiography can reveal whether direct PTCA or bypass surgery is appropriate. Thrombolysis is limited to patients for whom transfer is delayed and those in whom cardiogenic shock is ruled out.
Authors:
H Feld
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of critical illness     Volume:  7     ISSN:  1040-0257     ISO Abbreviation:  J Crit Illn     Publication Date:  1992 Aug 
Date Detail:
Created Date:  1993-05-27     Completed Date:  1993-05-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8608118     Medline TA:  J Crit Illn     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1277-84; 1293-4     Citation Subset:  T    
Affiliation:
Downstate Medical Center, State University of New York, Brooklyn.
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MeSH Terms
Descriptor/Qualifier:
Aged
Coronary Angiography
Female
Heart Catheterization*
Humans
Myocardial Revascularization
Shock, Cardiogenic / diagnosis,  physiopathology,  therapy*

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