Document Detail


Percutaneous ventricular assist devices for cardiogenic shock.
MedLine Citation:
PMID:  18752766     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cardiogenic shock complicates up to 7% of ST-segment elevation myocardial infarctions and 2.5% of non-ST-segment elevation myocardial infarctions, with an associated mortality of 50% to 70%. Primary cardiac pump failure is followed by secondary vital organ hypoperfusion and subsequent activation of various cascade pathways, resulting in a downward spiral leading to multiple organ failure and, ultimately, death. Immediate restoration of cardiac output by means of percutaneous ventricular assist devices restores hemodynamic -stability and is an important advance in the management of patients with severe left ventricular dysfunction and cardiogenic shock. This article reviews available evidence supporting the use of percutaneous ventricular assist devices in patients suffering from cardiogenic shock.
Authors:
Stéphane Cook; Stephan Windecker
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current heart failure reports     Volume:  5     ISSN:  1546-9549     ISO Abbreviation:  Curr Heart Fail Rep     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-08-28     Completed Date:  2008-10-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101196487     Medline TA:  Curr Heart Fail Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  163-9     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Transluminal, Percutaneous Coronary
Cardiac Output, Low / physiopathology,  therapy
Coronary Artery Bypass
Heart-Assist Devices*
Hemostasis
Hospital Mortality
Humans
Intra-Aortic Balloon Pumping
Myocardial Infarction / complications,  therapy
Prosthesis Design
Prosthesis Implantation / methods
Shock, Cardiogenic / etiology,  mortality,  physiopathology,  therapy*
Treatment Outcome
Ventricular Dysfunction, Left / physiopathology,  therapy

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


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