Journal of the American College of Cardiology
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J. Am. Coll. Cardiol.
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J. Am. Coll. Cardiol. · Jan 1983
Shock in acute myocardial infarction: evolution of physiologic therapy.
In the past 25 years the treatment of shock in myocardial infarction has evolved into a physiologic approach based on on-line measurements of hemodynamic variables. This has aided in the development of new pressor agents so that a family of pharmacologic agents is now available. ⋯ Recognition and appropriate treatment of the preshock state have decreased the incidence of shock. The criteria for use of mechanical support and surgical intervention are soundly established; the use of thrombolytic therapy and balloon angioplasty for this syndrome is ready to be evaluated.