Unresolved Controversies in Revascularization for Cardiogenic Shock with Acute Myocardial Infarction

被引：1

作者：

Smilowitz, Nathaniel R. ^{[1
,2
]}

机构：

[1] NYU, NYU Langone Hlth, Sch Med, Leon H Charney Div Cardiol, 423 23rd St 12-West Cardiol, New York, NY 10010 USA

[2] VA NY Harbor Hlth Care Syst, Dept Med, Sect Cardiol, New York, NY USA

来源：

CANADIAN JOURNAL OF CARDIOLOGY | 2025年 / 41卷 / 04期

基金：

美国国家卫生研究院;

关键词：

PERCUTANEOUS CORONARY INTERVENTION;

D O I：

10.1016/j.cjca.2024.08.281

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Cardiogenic shock (CS) occurs in 5%-10% of patients with acute myocardial infarction (AMI). Routine early culprit vessel revascularization and selective microaxial flow pump placement improve survival, but the management of multivessel coronary artery disease (CAD) in patients with CS remains controversial. Randomized trials are needed to address the optimal mode and timing of coronary revascularization with respect to the initiation of mechanical circulatory support. Ventricular unloading before multivessel percutaneous coronary intervention (PCI) and emergency coronary artery bypass grafting (CABG) remain intriguing options for multivessel CAD in patients with AMI and CS, but these strategies must be tested in prospective clinical trials.

引用

页码：768 / 770

页数：3

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