Management of cardiogenic shock

Holger Thiele*, E. Magnus Ohman, Steffen Desch, Ingo Eitel, Suzanne De Waha

*Corresponding author for this work
342 Citations (Scopus)

Abstract

Cardiogenic shock (CS) remains the most common cause of death in patients with acute myocardial infarction although mortality could be reduced from formerly â 1/480% to 40-50%. In addition to percutaneous coronary intervention or coronary artery bypass grafting, catecholamines, fluids, intraaortic balloon pumping (IABP), and also active assist devices are widely used for CS management. However, there is only limited evidence for any of the above treatments except for early revascularization and the relative ineffectiveness of IABP. This updated review will therefore outline the management of CS complicating acute myocardial infarction with major focus on evidence-based revascularization techniques, intensive care unit treatment including ventilation, transfusion regimens, adjunctive medication, and mechanical support devices.

Original languageEnglish
JournalEuropean Heart Journal
Volume36
Issue number20
Pages (from-to)1223-1230
Number of pages8
ISSN0195-668X
DOIs
Publication statusPublished - 21.05.2015

Research Areas and Centers

  • Centers: Cardiological Center Luebeck (UHZL)

DFG Research Classification Scheme

  • 205-12 Cardiology, Angiology

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