Cardiogenic Shock

被引:30
作者
Cooper, Howard A. [1 ]
Panza, Julio A. [2 ]
机构
[1] Medstar Washington Hosp Ctr, Medstar Heart Inst, Coronary Care Unit, Washington, DC 20010 USA
[2] Westchester Cty Med Ctr, Div Cardiol, Valhalla, NY 10595 USA
关键词
Cardiogenic shock; Acute myocardial infarction; Prognosis; Reperfusion; Inflammation; Intra-aortic balloon pump; Left ventricular assist device; Extracorporeal membrane oxygenation; ACUTE MYOCARDIAL-INFARCTION; EXTRACORPOREAL MEMBRANE-OXYGENATION; PERCUTANEOUS CORONARY INTERVENTION; INTRAAORTIC BALLOON SUPPORT; VENTRICULAR SEPTAL-DEFECT; FREE-WALL RUPTURE; ASSIST DEVICE; THERAPEUTIC HYPOTHERMIA; EARLY REVASCULARIZATION; MITRAL REGURGITATION;
D O I
10.1016/j.ccl.2013.07.009
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Cardiogenic shock (CS) is a condition in which a marked reduction in cardiac output and inadequate end-organ perfusion results from an array of cardiac insults, the most common of which is acute myocardial infarction. CS is a systemic disease involving a vicious cycle of inflammation, ischemia, and progressive myocardial dysfunction, which often results in death. This life-threatening emergency requires intensive monitoring accompanied by aggressive hemodynamic support; other therapies are tailored to the specific pathophysiology. The development of novel therapeutic strategies is urgently required to reduce the unacceptably high mortality rates currently associated with CS.
引用
收藏
页码:567 / +
页数:15
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