Document Detail

Shock in acute myocardial infarction: evolution of physiologic therapy.
MedLine Citation:
PMID:  6826931     Owner:  NLM     Status:  MEDLINE    
In the past 25 years the treatment of shock in myocardial infarction has evolved into a physiologic approach based on on-line measurements of hemodynamic variables. This has aided in the development of new pressor agents so that a family of pharmacologic agents is now available. Appropriate use of vasodilators and recognition and treatment of intravascular volume depletion have increased survival. Recognition and appropriate treatment of the preshock state have decreased the incidence of shock. The criteria for use of mechanical support and surgical intervention are soundly established; the use of thrombolytic therapy and balloon angioplasty for this syndrome is ready to be evaluated.
R M Gunnar; H S Loeb
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American College of Cardiology     Volume:  1     ISSN:  0735-1097     ISO Abbreviation:  J. Am. Coll. Cardiol.     Publication Date:  1983 Jan 
Date Detail:
Created Date:  1983-04-07     Completed Date:  1983-04-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8301365     Medline TA:  J Am Coll Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  154-63     Citation Subset:  IM    
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MeSH Terms
Dobutamine / therapeutic use
Intra-Aortic Balloon Pumping
Myocardial Infarction / complications*,  surgery
Nitroprusside / therapeutic use
Shock, Cardiogenic / drug therapy,  etiology,  therapy*
Vasoconstrictor Agents / therapeutic use
Vasodilator Agents / therapeutic use
Reg. No./Substance:
0/Vasoconstrictor Agents; 0/Vasodilator Agents; 15078-28-1/Nitroprusside; 34368-04-2/Dobutamine

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