Mechanical circulatory support in acute myocardial infarction complicated by cardiogenic shock

Document Type

Article

Publication Date

2-21-2022

Publication Title

Reviews in cardiovascular medicine

Abstract

Patients with acute myocardial infarction (MI) complicated by cardiogenic shock (CS) have poor prognosis. Over the last two decades, there has been some improvement in mortality rates associated with CS. Initial measures to stabilise patients should follow a shock protocol, including therapies such as volume expansion, inotropes/vasopressors, and early coronary revascularisation. The use of mechanical circulatory support (MCS) devices demonstrated better haemodynamic and metabolic profiles for patients with CS. However, these benefits have not been consistently translated into significant reductions in cardiovascular adverse events. This review aims to discuss emerging concepts related to CS including an update on its classification and pathophysiology. The focus is on recent evidence regarding the use of MCS and the timing of initiating in patients with CS.

Medical Subject Headings

Heart-Assist Devices; Humans; Intra-Aortic Balloon Pumping; Myocardial Infarction; Shock, Cardiogenic; Treatment Outcome

PubMed ID

35229562

Volume

23

Issue

2

First Page

71

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