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Review
. 2014 Dec;9(2):88-91.
doi: 10.15420/ecr.2014.9.2.88.

Evaluation and Management of ST-elevation Myocardial Infarction and Shock

Lee Chang  1 , Robert Yeh  2
Affiliations
Review

Evaluation and Management of ST-elevation Myocardial Infarction and Shock

Lee Chang et al. Eur Cardiol. 2014 Dec.

Abstract

Cardiogenic shock is the deadliest complication of acute ST-elevation myocardial infarction. Prompt recognition and intervention are critical for patient survival. The diagnosis of cardiogenic shock is primarily a clinical one based on signs and symptoms of low cardiac output and heart failure, and can be confirmed with placement of a pulmonary arterial catheter. Vasopressor and inotropic therapies are typically required, and in severe cases, an intra-aortic balloon pump can provide additional haemodynamic support. Although mortality for cardiogenic shock associated with ST-elevation myocardial infarction remains high, early reperfusion strategies primarily via percutaneous coronary intervention or coronary artery bypass graft surgery have led to improved outcomes.

Keywords: CABG; Cardiogenic shock; PCI; STEMI; intra-aortic balloon pump; rescue PCI.

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Conflict of interest statement

Disclosure: The authors have no conflicts of interest to declare.

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