Routine utilization of a pulmonary artery catheter in managing patients with cardiogenic shock is unnecessary, but may be vital to determining a care plan in select patients being considered for mechanical support or transplant. Shock should we emergently revascularize occluded coronaries for cardiogenic shock and iabp shock ii intraaortic balloon pump in cardiogenic shock ii trials are presented in table 1. The following are summary points from the american heart association scientific statement on contemporary management of cardiogenic shock cs. Cardiogenic shock journal of the american college of. Scai clinical expert consensus statement on the classification of cardiogenic shock this document was endorsed by the american college of cardiology acc, the american heart association aha, the society of critical care medicine sccm, and. Cs is caused by severe impairment of myocardial performance that results in diminished cardiac output, end. The definition includes the following hemodynamic parameters. Shock is a lifethreatening condition of circulatory failure, causing inadequate oxygen delivery to meet cellular metabolic needs and oxygen consumption requirements, producing cellular and tissue hypoxia. The effects of shock are initially reversible, but rapidly become irreversible, resulting in multiorgan failure mof and death. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Cardiogenic shock cs is a clinical condition of inadequate tissue endorgan perfusion due to cardiac dysfunction.
Shock should we emergently revascularize occluded coronaries for cardiogenic shock and iabpshock ii intraaortic balloon pump in cardiogenic shock ii trials are presented in table 1. The most common complications of coronary angiography include cardiogenic shock, infarction, coronary artery dissection, stent thrombosis, stroke, the need for dialysis, and death. Cardiogenic shock journal of the american heart association. Before the routine use of early revascularization, myocardial infarction miassociated cs had an inhospital mortality exceeding 80%, but after the advent of revascularization, the mortality is 2751%.
Poor peripheral perfusion, low urinary output, altered mentation. Early revascularization as shown in the should we emergently revascularize occluded coronaries for cardiogenic shock shock trial is the most important treatment strategy in cs complicating ami. Although cardiogenic shock is a rare occurrence in tc, if it does occur it may require the use of a left ventricular assist device. Cardiogenic shock occurs when the heart fails as a pump to provide adequate circulation to meet the metabolic needs of the body.
Choque cardiogenico, infarto al miocardio, agentes inotropicos, reperfusion. Cardiogenic shock cs is a clinical condition of inadequate tissueend organ perfusion due to cardiac dysfunction hypotension sbp cardiogenico update 2015 1. A prospective, multicenter registry of patients hospitalized with cardiogenic shock in the context of acute coronary syndromes with and without stsegment elevation was conducted in 64 centers of argentina between 20 and 2015. Case 022015 a 67 yearold woman with sudden cardiogenic. We report the use of extracorporeal life support ecls in a patient with tc and. Management of cardiogenic shock european heart journal.