Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2015 Mar 1;1(1):5-10.
doi: 10.1515/jccm-2015-0002. eCollection 2015 Jan.

Current Concepts and New Trends in the Treatment of Cardiogenic Shock Complicating Acute Myocardial Infarction

Theodora Benedek  1 , Dan Dobreanu  1
Affiliations
Review

Current Concepts and New Trends in the Treatment of Cardiogenic Shock Complicating Acute Myocardial Infarction

Theodora Benedek et al. J Crit Care Med (Targu Mures). .

Abstract

Cardiogenic shock (CS) is a critical condition which often complicates the evolution of an acute myocardial infarction (AMI). At the same time, co-existence of chronic multi-vessel disease can lead to the development of cardiogenic shock in cases with pronounced haemodynamic instability. Different clinical studies have tried to identify the most appropriate treatment for critical cases of CS complicating AMI. This review aims to present the current status of recommended therapeutic strategies for severe cases of CS presenting as a complication of AMI, and try to shed light on the most appropriate therapeutic strategy as outlined in the current literature. The paper will discuss the different current strategies available for use in the treatment of this condition, includig interventional revascularisation, (complete or culprit), the role of new devices for providing mechanical circulatory support, and the potential role of new drug therapies and of hypothermia.

Keywords: cardiogenic shock; myocardial infarction; revascularisation.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest: None declared.

References

    1. Kaminski KA, Tycinska AM, Stepek T. et al. Natural history and risk factors of long-term mortality in acute coronary syndrome patients with cardiogenic shock. Adv Med Sci. 2014;59:156–60. - PubMed
    1. Menon V, White H, LeJemtel T, Webb JG, Sleeper LA, Hochman JS.. The clinical profile of patients with suspected cardiogenic shock due to predominant left ventricular failure: a report from the SHOCK Trial Registry. SHould we emergently revascularize Occluded Coronaries in cardiogenic shocK? J Am Coll Cardiol. 2000;36(A):1071–6. - PubMed
    1. Jacobs AK, Leopold JA, Bates E. et al. Cardiogenic shock caused by right ventricular infarction. A report from the SHOCK registry. J Am Coll Cardiol. 2003;41:1273–9. - PubMed
    1. Reynolds HR, Hochman JS.. Cardiogenic Shock: Current Concepts and Improving Outcomes. Circulation. 2008;117:686–97. - PubMed
    1. Tchantchaleishcili V, Schubmehl H, Swartz MF, Hallinan W, Massey HT.. Evolving strategies in the treatment of acute myocardial infarction-induced cardiogenic schock. Am Cardiothorac Surg. 2014;3:606–11. - PMC - PubMed

LinkOut - more resources