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Cardiogenic Shock
被引:29
|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.
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页码:567 / +
页数:15
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