Mechanical circulatory support in cardiogenic shock

被引：0

作者：

Frost, Andrew ^{[1
]}

Haddad, Haissam ^{[1
]}

Shavadia, Jay ^{[1
]}

机构：

[1] Univ Saskatchewan, Coll Med, Div Cardiol, 103 Hosp Dr, Saskatoon, SK S7N 0W8, Canada

来源：

CURRENT OPINION IN CARDIOLOGY | 2020年 / 35卷 / 02期

关键词：

acute myocardial infarction; cardiogenic shock; percutaneous circulatory support; EXTRACORPOREAL MEMBRANE-OXYGENATION; INTRAAORTIC BALLOON SUPPORT; VENTRICULAR ASSIST DEVICE; MYOCARDIAL-INFARCTION; OUTCOMES; SOCIETY; PUMP;

D O I：

10.1097/HCO.0000000000000715

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Purpose of review Cardiogenic shock remains a complex clinical syndrome with high morbidity and mortality. The purpose of this article is to review important landmark trials as well as the relevant recent literature for percutaneous mechanical circulatory support following acute myocardial infarction. Recent findings The sole use of intraaortic balloon pumps for cardiogenic shock following acute myocardial infarction continues to be questioned with downgrading of its recommendation in recent years, there however may remain a role in patients with mechanical complications of their myocardial infarction. The combined use of extracorporeal circulatory support and a ventricular unloading device appears to be promising with increasing data supporting this strategy. Given the complex and heterogeneous nature of cardiogenic shock there remains somewhat limited robust data to guide clinical practice. Ongoing research is needed to help guide improvements in patient outcomes.

引用

页码：145 / 149

页数：5

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