Cardiogenic Shock

被引：18

作者：

Shah, Palak ^{[1
]}

Cowger, Jennifer A. ^{[2
]}

机构：

[1] Inova Fairfax Hosp, Inova Translat Med Inst, Church, VA 22042 USA

[2] St Vincent Heart Ctr, Heart Failure & Transplant Program, Indianapolis, IN 46260 USA

来源：

CRITICAL CARE CLINICS | 2014年 / 30卷 / 03期

关键词：

Cardiogenic shock; Intra-aortic balloon pump; Percutaneous ventricular assist device; Inotropes; Revascularization; ACUTE MYOCARDIAL-INFARCTION; VENTRICULAR SEPTAL RUPTURE; ACUTE CORONARY SYNDROMES; PAPILLARY-MUSCLE RUPTURE; BALLOON PUMP COUNTERPULSATION; DECOMPENSATED HEART-FAILURE; PULMONARY-ARTERY CATHETER; ASSIST DEVICE; EARLY REVASCULARIZATION; PROGNOSTIC IMPORTANCE;

D O I：

10.1016/j.ccc.2014.03.001

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Cardiogenic shock is the most common cause of in-hospital mortality for patients who have suffered a myocardial infarction. Mortality exceeds 50% and management is focused on a rapid diagnosis of cardiogenic shock, restoration of coronary blood flow through early revascularization, complication management, and maintenance of end-organ homeostasis. Besides revascularization, inotropes and vasodilators are potent medical therapies to assist the failing heart. Pulmonary arterial catheters are an important adjunctive tool to assess patient hemodynamics, but their use should be limited to select patients in cardiogenic shock.

引用

页码：391 / +

页数：23

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