Cardiogenic Shock in the Setting of Acute Myocardial Infarction
Navin K Kapur, Katherine L Thayer, Elric Zweck, Navin K Kapur, Katherine L Thayer, Elric Zweck
Abstract
Cardiogenic shock in the setting of acute myocardial infarction remains a major cause of morbidity and mortality. In fact, acute myocardial infarction accounts for 81% of patients in cardiogenic shock. Despite advances in pharmacologic and device-based approaches to support patients with cardiogenic shock, no significant improvement in mortality has been observed over the past 20 years, although multiple registries are providing new insight into this complex syndrome. Key elements for optimal treatment include integration of hemodynamic and metabolic data for diagnosis and risk stratification, early evaluation and appropriate initiation of acute mechanical circulatory support devices, and an organized algorithmic approach to decision making.
Keywords: acute mechanical circulatory support; acute myocardial infarction; cardiogenic shock; early revascularization; risk assessment; shock classification.
Conflict of interest statement
Conflict of Interest Disclosure: Dr. Kapur is a formal advisor for and conducts research on behalf of Abbott, Abiomed, Boston Scientific, LivaNova, Medtronic, MD Start, and preCARDIA.
© 2020 Houston Methodist Hospital Houston, Texas.
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Source: PubMed