Acute Myocardial Infarction Complicated by Cardiogenic Shock: Analysis of the Position Statement From the European Society of Cardiology Acute Cardiovascular Care Association, With Perioperative Implications

被引:6
|
作者
Cormican, Daniel S. [1 ]
Sonny, Abraham [2 ]
Crowley, Jerome [2 ]
Sheu, Richard [3 ]
Sun, Terri [3 ]
Gibson, Christina M. [4 ]
Nunez-Gil, Ivan J. [5 ]
Ramakrishna, Harish [6 ]
机构
[1] Allegheny Hlth Network, Div Cardiothorac Anesthesiol & Crit Care Med, Dept Anesthesiol, Pittsburgh, PA USA
[2] Massachusetts Gen Hosp, Dept Anesthesia Crit Care & Pain Med, Boston, MA 02114 USA
[3] Univ Washington, Med Ctr, Dept Anesthesiol & Pain Med, Seattle, WA 98195 USA
[4] Allegheny Hlth Network, Dept Anesthesiol, Pittsburgh, PA USA
[5] Hosp Clin San Carlos, Cardiovasc Inst, Intervent Cardiol, Madrid, Spain
[6] Mayo Clin, Div Cardiovasc & Thorac Anesthesiol, Dept Anesthesiol & Perioperat Med, 200 First St SW, Rochester, MN 55901 USA
关键词
cardiogenic shock; heart failure; European Society of Cardiology; ESC; Acute Cardiovascular Care Association; ACCA; anesthetic implications; PERCUTANEOUS CORONARY INTERVENTION; VENTRICULAR SEPTAL-DEFECT; EARLY REVASCULARIZATION; SUPPORT DEVICES; MANAGEMENT; NOREPINEPHRINE; MORTALITY; ELEVATION; SYNTHASE; OUTCOMES;
D O I
10.1053/j.jvca.2020.10.062
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Effective management of cardiogenic shock (CS) is hampered by a lack of evidence-based information. This is a high-mortality condition, without clear, evidence-based guidelines for perioperative management, specifically-a lack of target endpoints for treatment (e.g.: mean arterial pressure or oxygenation), utility of regional care systems or the benefits of palliative care. The Acute Cardiovascular Care Association (ACCA) of the European Society of Cardiology (ESC) recently published a position statement that aimed to offer contemporary guidance on the diagnosis and treatment of acute myocardial infarction (AMI) complicated by CS. Herein, we review this complex clinical topic and review the ACCA statement on AMI associated with CS, with a focus on relevance to perioperative management. (C) 2020 Elsevier Inc. All rights reserved.
引用
收藏
页码:3098 / 3104
页数:7
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