TY - JOUR
T1 - Primary angioplasty for patients in cardiogenic shock
T2 - Optimal management
AU - Joseph, Jubin
AU - Patterson, Tiffany
AU - Arri, Satpal
AU - McConkey, Hannah
AU - Redwood, Simon R.
PY - 2016/4
Y1 - 2016/4
N2 - Cardiogenic shock complicates approximately 5-10 % of all MI events and remains the most common cause of death among MI cases. Over the past few decades, the mortality rate associated with cardiogenic shock has decreased with the introduction of early revascularisation, although there are limited data for patients with triple-vessel disease and left main stem disease. In more recent years, there have been a number of advances in the mechanical circulatory support devices that can help improve the haemodynamics of patients in cardiogenic shock. Despite these advances, together with progress in the use of inotropes and vasopressors, cardiogenic shock remains associated with high morbidity and mortality rates. This review will outline the management of cardiogenic shock complicating acute MI with a smajor focus on revascularisation techniques and the use of mechanical circulatory support devices.
AB - Cardiogenic shock complicates approximately 5-10 % of all MI events and remains the most common cause of death among MI cases. Over the past few decades, the mortality rate associated with cardiogenic shock has decreased with the introduction of early revascularisation, although there are limited data for patients with triple-vessel disease and left main stem disease. In more recent years, there have been a number of advances in the mechanical circulatory support devices that can help improve the haemodynamics of patients in cardiogenic shock. Despite these advances, together with progress in the use of inotropes and vasopressors, cardiogenic shock remains associated with high morbidity and mortality rates. This review will outline the management of cardiogenic shock complicating acute MI with a smajor focus on revascularisation techniques and the use of mechanical circulatory support devices.
KW - Cardiogenic shock
KW - Coronary intervention
KW - Mechanical circulatory support
KW - Myocardial infarction
UR - http://www.scopus.com/inward/record.url?scp=84979670152&partnerID=8YFLogxK
U2 - 10.15420/icr.2016.11.1.39
DO - 10.15420/icr.2016.11.1.39
M3 - Article
SN - 1756-1477
VL - 11
SP - 39
EP - 43
JO - Interventional Cardiology Review
JF - Interventional Cardiology Review
IS - 1
ER -