Haematological challenges in cardiogenic shock.

Curr Opin Crit Care · Aug 2023

Review

Haematological challenges in cardiogenic shock.

Cardiogenic shock (CS) remains a very challenging condition with high mortality, despite the advances in therapeutic options. Haematological complications, including coagulopathy and haemolysis, frequently arise in these critically ill patients in CS, especially if they need percutaneous mechanical circulatory support (pMCS), and impair the outcome. This stresses the urgent need for further advancement of this field. ⋯ In this review, pathophysiology and management of coagulopathies during CS and pMCS are discussed, as well as the need for further studies in this field.

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- Charlotte J Van Edom, Guido Tavazzi, and Christophe Vandenbriele.
- Department of Cardiovascular Sciences, University of Leuven.
- Curr Opin Crit Care. 2023 Aug 1; 29 (4): 392396392-396.
Purpose Of ReviewCardiogenic shock (CS) remains a very challenging condition with high mortality, despite the advances in therapeutic options. Haematological complications, including coagulopathy and haemolysis, frequently arise in these critically ill patients in CS, especially if they need percutaneous mechanical circulatory support (pMCS), and impair the outcome. This stresses the urgent need for further advancement of this field.Recent FindingsHere, we discuss the different haematological challenges during CS and additional pMCS. Furthermore, we propose a management strategy aiming for restabilization of this precarious haemostatic balance.SummaryIn this review, pathophysiology and management of coagulopathies during CS and pMCS are discussed, as well as the need for further studies in this field.Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

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Haematological challenges in cardiogenic shock.

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