The various perioperative issues of structural heart diseases and cardiogenic shock
Recommended Citation
Buchwald CLV, Jabri A, Fadel R, Alhuneafat L, Wang DD, Mariscal E, Alqarqaz M, Engel P, O'Neill B, Frisoli T, Lee J, Abbas A, O'Neill WW, and Villablanca PA. The various perioperative issues of structural heart diseases and cardiogenic shock. Curr Probl Cardiol 2024; 49(8):102646.
Document Type
Article
Publication Date
8-1-2024
Publication Title
Current problems in cardiology
Abstract
Up to 20 % of patients presenting with acute heart failure and cardiogenic shock have a structural etiology. Despite efforts in timely management, mortality rates remain alarmingly high, ranging from 50 % to 80 %. Surgical intervention is often the definitive treatment for structural heart disease; however, many patients are considered high risk or unsuitable candidates for such procedures. Consequently, there has been a paradigm shift towards the development of novel percutaneous management strategies and temporizing interventions. This article aims to provide a comprehensive review of the pathophysiology of valvular and structural heart conditions presenting in cardiogenic shock, focusing on the evolving landscape of mechanical circulatory support devices and other management modalities.
Medical Subject Headings
Humans; Shock, Cardiogenic; Heart-Assist Devices; Perioperative Care; Heart Diseases; Cardiac Surgical Procedures; Heart Failure
PubMed ID
38820919
Volume
49
Issue
8
First Page
102646
Last Page
102646
