• Eur Heart J Acute Cardiovasc Care · Jun 2015

    Review

    Management of cardiogenic shock complicating acute myocardial infarction.

    • Jozef L Van Herck, Marc J Claeys, Rudi De Paep, Paul L Van Herck, Christiaan J Vrints, and Philippe G Jorens.
    • Department of Intensive Care Medicine and Cardiology, Antwerp University Hospital, University of Antwerp, Belgium jozef.van.herck@uza.be.
    • Eur Heart J Acute Cardiovasc Care. 2015 Jun 1; 4 (3): 278-97.

    AbstractCardiogenic shock complicates approximately 5-10% of cases with acute myocardial infarction and carries a poor prognosis. Early revascularization remains the cornerstone treatment of cardiogenic shock complicating myocardial infarction. Inotropic and/or vasopressor agents can be used for haemodynamic stabilization, although this comes at the expense of increased myocardial oxygen consumption and extended myocardial ischaemia. In recent years, the use of mechanical circulatory support has significantly increased. However, there is only limited data available from randomized trials evaluating the different percutaneous support systems. This review summarizes the available literature concerning the management of cardiogenic shock and gives an overview of the recommendations of the European and German-Austrian guidelines on cardiogenic shock. © The European Society of Cardiology 2015.

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