A Standardized and Comprehensive Approach to the Managemento of Cardiogenic Shock

被引：215

作者：

Tehrani, Behnam N. ^{[1
]}

Truesdell, Alexander G. ^{[1
,2
]}

Psotka, Mitchell A. ^{[1
]}

Rosner, Carolyn ^{[1
]}

Singh, Ramesh ^{[1
]}

Sinha, Shashank S. ^{[1
]}

Damluji, Abdulla A. ^{[1
]}

Batchelor, Wayne B. ^{[1
]}

机构：

[1] Inova Heart & Vasc Inst, Falls Church, VA USA

[2] Virginia Heart, Falls Church, VA USA

来源：

JACC-HEART FAILURE | 2020年 / 8卷 / 11期

关键词：

acute decompensated heart failure; acute myocardial infarction; cardiogenic shock; mechanical circulatory support; multidisciplinary care; ACUTE MYOCARDIAL-INFARCTION; PERCUTANEOUS CORONARY INTERVENTION; MECHANICAL CIRCULATORY SUPPORT; INTRAAORTIC BALLOON COUNTERPULSATION; CARE-UNIT; OUTCOMES; FAILURE; DEVICES; MULTIVESSEL; DEPLOYMENT;

D O I：

10.1016/j.jchf.2020.09.005

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Cardiogenic shock is a hemodynamically complex syndrome characterized by a low cardiac output that often culminates in multiorgan system failure and death. Despite recent advances, clinical outcomes remain poor, with mortality rates exceeding 40%. In the absence of adequately powered randomized controlled trials to guide therapy, best practices for shock management remain nonuniform. Emerging data from North American registries, however, support the use of standardized protocols focused on rapid diagnosis, early intervention, ongoing hemodynamic assessment, and multidisciplinary longitudinal care. In this review, the authors examine the pathophysiology and phenotypes of cardiogenic shock, benefits and limitations of current therapies, and they propose a standardized and team-based treatment algorithm. Lastly, they discuss future research opportunities to address current gaps in clinical knowledge. (C) 2020 by the American College of Cardiology Foundation.

引用

页码：879 / 891

页数：13

共 70 条

[1] The Evolving Landscape of Impella Use in the United States Among Patients Undergoing Percutaneous Coronary Intervention With Mechanical Circulatory Support [J].

Amin, Amit P. ;

Spertus, John A. ;

Curtis, Jeptha P. ;

Desai, Nihar ;

Masoudi, Frederick A. ;

Bach, Richard G. ;

McNeely, Christian ;

Al-Badarin, Firas ;

House, John A. ;

Kulkarni, Hemant ;

Rao, Sunil, V .

CIRCULATION, 2020, 141 (04) :273-284

[2]

[Anonymous], J AM COLL CARDIOL

[3] SCAI clinical expert consensus statement on the classification of cardiogenic shock This document was endorsed by the American College of Cardiology (ACC), the American Heart Association (AHA), the Society of Critical Care Medicine (SCCM), and the Society of Thoracic Surgeons (STS) in April 2019 [J].

Baran, David A. ;

Grines, Cindy L. ;

Bailey, Steven ;

Burkhoff, Daniel ;

Hall, Shelley A. ;

Henry, Timothy D. ;

Hollenberg, Steven M. ;

Kapur, Navin K. ;

O'Neill, William ;

Ornato, Joseph P. ;

Stelling, Kelly ;

Thiele, Holger ;

van Diepen, Sean ;

Naidu, Srihari S. .

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2019, 94 (01) :29-37

[4] Improved Outcomes Associated with the use of Shock Protocols: Updates from the National Cardiogenic Shock Initiative [J].

Basir, Mir B. ;

Kapur, Navin K. ;

Patel, Kirit ;

Salam, Murad A. ;

Schreiber, Theodore ;

Kaki, Amir ;

Hanson, Ivan ;

Almany, Steve ;

Timmis, Steve ;

Dixon, Simon ;

Kolski, Brian ;

Todd, Josh ;

Senter, Shaun ;

Marso, Steven ;

Lasorda, David ;

Wilkins, Charles ;

Lalonde, Thomas ;

Attallah, Antonious ;

Larkin, Timothy ;

Dupont, Allison ;

Marshall, Jeffrey ;

Patel, Nainesh ;

Overly, Tjuan ;

Green, Michael ;

Tehrani, Behnam ;

Truesdell, Alexander G. ;

Sharma, Rahul ;

Akhtar, Yasir ;

McRae, Thomas ;

O'Neill, Brian ;

Finley, John ;

Rahman, Ayaz ;

Foster, Malcolm ;

Askari, Raza ;

Goldsweig, Andrew ;

Martin, Scott ;

Bharadwaj, Aditya ;

Khuddus, Matheen ;

Caputo, Christopher ;

Korpas, Denes ;

Cawich, Ian ;

McAllister, David ;

Blank, Nimrod ;

Alraies, M. Chadi ;

Fisher, Ruth ;

Khandelwal, Akshay ;

Alaswad, Khaldoon ;

Lemor, Alejandro ;

Johnson, Tyrell ;

Hacala, Michael .

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2019, 93 (07) :1173-1183

[5] Intravenous Fluids in Acute Decompensated Heart Failure [J].

Bikdeli, Behnood ;

Strait, Kelly M. ;

Dharmarajan, Kumar ;

Li, Shu-Xia ;

Mody, Purav ;

Partovian, Chohreh ;

Coca, Steven G. ;

Kim, Nancy ;

Horwitz, Leora I. ;

Testani, Jeffrey M. ;

Krumholz, Harlan M. .

JACC-HEART FAILURE, 2015, 3 (02) :127-133

[6]

Bogaty P, 2020, NEW ENGL J MED, V382, P1568, DOI [10.1056/NEJMc2000278, 10.1056/NEJMoa1907775]

[7] Demographics, Care Patterns, and Outcomes of Patients Admitted to Cardiac Intensive Care Units: The Critical Care Cardiology Trials Network Prospective North American Multicenter Registry of Cardiac Critical Illness [J].

Bohula, Erin A. ;

Katz, Jason N. ;

van Diepen, Sean ;

Alviar, Carlos L. ;

Baird-Zars, Vivian M. ;

Park, Jeong-Gun ;

Barnett, Christopher F. ;

Bhattal, Gurjaspreet ;

Barsness, Gregory W. ;

Burke, James A. ;

Cremer, Paul C. ;

Cruz, Jennifer ;

Daniels, Lori B. ;

DeFilippis, Andrew ;

Granger, Christopher B. ;

Hollenberg, Steven ;

Horowitz, James M. ;

Keller, Norma ;

Kontos, Michael C. ;

Lawler, Patrick R. ;

Menon, Venu ;

Metkus, Thomas S. ;

Ng, Jason ;

Orgel, Ryan ;

Overgaard, Christopher B. ;

Phreaner, Nicholas ;

Roswell, Robert O. ;

Schulman, Steven P. ;

Snell, R. Jeffrey ;

Solomon, Michael A. ;

Ternus, Bradley ;

Tymchak, Wayne ;

Vikram, Fnu ;

Morrow, David A. ;

Katz, Jason N. ;

van Diepen, Sean ;

Solomon, Michael A. ;

Bohula, Erin A. ;

Baird-Zars, Vivian ;

Cange, Abby ;

Murphy, Sabina A. ;

Silva, D. ;

Schenone, Aldo ;

Rutkowski, K. ;

Ricketti, Daniel ;

Trujillo, John ;

Ibrahim, Khalil ;

Rahman, Faisal ;

Cornell, Kristen .

JAMA CARDIOLOGY, 2019, 4 (09) :928-935

[8] Outcomes of hospitalisation for right heart failure in pulmonary arterial hypertension [J].

Campo, A. ;

Mathai, S. C. ;

Le Pavec, J. ;

Zaiman, A. L. ;

Hummers, L. K. ;

Boyce, D. ;

Housten, T. ;

Lechtzin, N. ;

Chami, H. ;

Girgis, R. E. ;

Hassoun, P. M. .

EUROPEAN RESPIRATORY JOURNAL, 2011, 38 (02) :359-367

[9]

Chioncel O, 2020, EUR J HEART FAIL

[10] An early investigation of outcomes with the new 2018 donor heart allocation system in the United States [J].

Cogswell, Rebecca ;

John, Ranjit ;

Estep, Jerry D. ;

Duval, Sue ;

Tedford, Ryan J. ;

Pagani, Francis D. ;

Martin, Cindy M. ;

Mehra, Mandeep R. .

JOURNAL OF HEART AND LUNG TRANSPLANTATION, 2020, 39 (01) :1-4

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