Cardiogenic shock as a health issue: Physiology, classification, and detection

被引：0

作者：

Zapata, Luis ^{[1
]}

Gomez-Lopez, Rocio ^{[2
]}

Llanos-Jorge, Celina ^{[3
]}

Duerto, Jorge ^{[4
]}

Martin-Villen, Luis ^{[5
]}

机构：

[1] Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Serv Med Intens, Barcelona, Spain

[2] Hosp Alvaro Cunqueiro, Serv Med Intens, Vigo, Spain

[3] Complejo Hosp Univ Canarias, Serv Med Intens, San Cristobal la Laguna, Santa Cruz De T, Spain

[4] Hosp Clin Univ San Carlos, Serv Med Intens, Madrid, Spain

[5] Hosp Univ Virgen del Rocio, Serv Med Intens, Seville, Spain

来源：

MEDICINA INTENSIVA | 2024年 / 48卷 / 05期

关键词：

Cardiogenic shock; Acute myocardial infarction; Heart failure; Mechanical circulatory support; Shock; ACUTE MYOCARDIAL-INFARCTION; ACUTE HEART-FAILURE; MECHANICAL CIRCULATORY SUPPORT; CARE-UNIT PATIENTS; INTENSIVE-CARE; MANAGEMENT; MORTALITY; OUTCOMES; TEAM; ASSOCIATION;

D O I：

10.1016/j.medin.2023.12.012

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Cardiogenic shock (CS) is a heterogeneous syndrome with high mortality and increasing incidence. It is a condition where there is an imbalance between tissue oxygen demands and the cardiovascular system's capacity to meet them due to acute cardiac dysfunction. Historically, acute coronary syndromes have been the primary cause of CS; however, nonischemic cases have seen a rise in incidence. Its pathophysiology involves myocardial ischemic damage, a sympathetic, renin - angiotensin - aldosterone system, and inflammatory response, perpetuating the situation of tissue hypoperfusion, ultimately leading to multiorgan dysfunction. Characterizing CS patients through a triaxial assessment and the widespread use of the SCAI scale has allowed standardization of CS severity stratification, which, coupled with early detection and the "Hub and Spoke" approach, could contribute to improve the prognosis of CS patients. (c) 2024 Elsevier Espa & ntilde;a, S.L.U. y SEMICYUC. All rights reserved.

引用

页码：282 / 295

页数：14

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