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Therapeutic Strategies for Cardiogenic Shock.
MedLine Citation:
PMID:  15023282     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Cardiogenic shock is a devastating consequence of acute myocardial infarction; it is associated with an extremely high mortality. Treatment strategies should be focused on prompt reperfusion, as well as hemodynamic support. The optimal approach for therapy is emergent angiography and revascularization using percutaneous coronary intervention or coronary artery bypass surgery, with the assistance of intra-aortic balloon pump counterpulsation. Several adjunctive pharmacologic agents, particularly inotropic drugs and vasopressors, are also helpful for hemodynamic support. However, these agents have not been shown to provide a survival benefit, and their use is primarily based on clinical experience.
Authors:
Naji F. Yazbek; Neal S. Kleiman
Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Current treatment options in cardiovascular medicine     Volume:  6     ISSN:  1534-3189     ISO Abbreviation:  Curr Treat Options Cardiovasc Med     Publication Date:  2004 Feb 
Date Detail:
Created Date:  2004-Mar-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9815942     Medline TA:  Curr Treat Options Cardiovasc Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  29-41     Citation Subset:  -    
Affiliation:
Section of Cardiology, Baylor College of Medicine, Methodist Debakey Heart Center, 6565 Fannin Boulevard, F1090, Houston, TX 77030, USA. nkleiman@bcm.tmc.edu
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