Management of cardiogenic shock complicating myocardial infarction: an update 2019

被引:505
作者
Thiele, Holger [1 ,2 ]
Ohman, E. Magnus [3 ]
deWaha-Thiele, Suzanne [4 ]
Zeymer, Uwe [5 ]
Desch, Steffen [1 ,2 ]
机构
[1] Univ Leipzig, Heart Ctr Leipzig, Dept Internal Med Cardiol, Strumpellstr 39, D-04289 Leipzig, Germany
[2] Leipzig Heart Inst, Russenstr 69a, D-04289 Leipzig, Germany
[3] Duke Univ, Med Ctr, Duke Heart Ctr, Box 3126 DUMC, Durham, NC 27710 USA
[4] Univ Heart Ctr Luebeck, Dept Internal Med Cardiol Angiol Intens Care Med, Ratzeburger Allee 160, D-23538 Lubeck, Germany
[5] Klinikum Ludwigshafen, Med Klin B, Bremserstr 79, D-67063 Ludwigshafen, Germany
关键词
Shock; Heart failure; Treatment; Percutaneous coronary intervention; Myocardial infarction; Assist device; PERCUTANEOUS CORONARY INTERVENTION; ST-SEGMENT ELEVATION; EXTRACORPOREAL MEMBRANE-OXYGENATION; MECHANICAL CIRCULATORY SUPPORT; INTRAAORTIC BALLOON PUMP; EARLY REVASCULARIZATION; HOSPITAL MORTALITY; CARDIAC-ARREST; LIFE-SUPPORT; OPEN-LABEL;
D O I
10.1093/eurheartj/ehz363
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Cardiogenic shock (CS) remains the most common cause of death in patients admitted with acute myocardial infarction (AMI) and mortality remained nearly unchanged in the range of 40-50% during the last two decades. Early revascularization, vasopressors and inotropes, fluids, mechanical circulatory support, and general intensive care measures are widely used for CS management. However, there is only limited evidence for any of the above treatment strategies except for revascularization and the relative ineffectiveness of intra-aortic balloon pumping. This updated review will outline the management of CS complicating AMI with major focus on state-of-the art treatment.
引用
收藏
页码:2671 / +
页数:15
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