Document Detail

Surgical correction of cardiogenic shock.
MedLine Citation:
PMID:  971019     Owner:  NLM     Status:  MEDLINE    
Cardiogenic shock as a result of myocardial infarction demands an aggressive diagnostic and therapeutic approach to improve survival. First, the patient likely to develop shock should be identified early in his course so that interventions to reduce or contain infarct progression and thus prevent shock can be instituted. If the patient's condition deteriorates, prompt precise diagnosis of the cause of the hemodyanamic impairment must be made at the bedside with Swan-Ganz right heart catheterization and echocardiography, and, if potentially surgically correctable disease is present, left heart catheterization with coronary angiography in the catheterization laboratory should be done. Surgical repair of anatomic disruptions of the heart ventricular septal defect, or mitral valve rupture is frequently life-saving. At present, operative intervention for shock secondary to massive myocardial infarction alone remains a challenge.
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of internal medicine     Volume:  136     ISSN:  0003-9926     ISO Abbreviation:  Arch. Intern. Med.     Publication Date:  1976 Oct 
Date Detail:
Created Date:  1976-12-01     Completed Date:  1976-12-01     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0372440     Medline TA:  Arch Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1186-92     Citation Subset:  AIM; IM    
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MeSH Terms
Aortic Aneurysm / surgery
Bundle-Branch Block / physiopathology
Heart Aneurysm / surgery
Heart Catheterization
Heart Conduction System / physiopathology
Heart Murmurs
Heart Septal Defects, Ventricular / physiopathology,  surgery
Heart Ventricles / physiopathology
Middle Aged
Myocardial Infarction / physiopathology,  surgery
Shock, Cardiogenic / physiopathology,  surgery*

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