• J. Cardiothorac. Vasc. Anesth. · Oct 2021

    Review

    Acute Myocardial Infarction Complicated by Cardiogenic Shock: Analysis of the Position Statement From the European Society of Cardiology Acute Cardiovascular Care Association, With Perioperative Implications.

    • Daniel S Cormican, Abraham Sonny, Jerome Crowley, Richard Sheu, Terri Sun, Christina M Gibson, Iván J Núñez-Gil, and Harish Ramakrishna.
    • Department of Anesthesiology, Divisions of Cardiothoracic Anesthesiology and Critical Care Medicine, Allegheny Health Network, Pittsburgh, PA.
    • J. Cardiothorac. Vasc. Anesth. 2021 Oct 1; 35 (10): 3098-3104.

    AbstractEffective management of cardiogenic shock (CS) is hampered by a lack of evidence-based information. This is a high-mortality condition, without clear, evidence-based guidelines for perioperative management, specifically-a lack of target endpoints for treatment (e.g.: mean arterial pressure or oxygenation), utility of regional care systems or the benefits of palliative care. The Acute Cardiovascular Care Association (ACCA) of the European Society of Cardiology (ESC) recently published a position statement that aimed to offer contemporary guidance on the diagnosis and treatment of acute myocardial infarction (AMI) complicated by CS. Herein, we review this complex clinical topic and review the ACCA statement on AMI associated with CS, with a focus on relevance to perioperative management.Copyright © 2020 Elsevier Inc. All rights reserved.

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