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Review
. 2021 Aug 1;27(4):454-459.
doi: 10.1097/MCC.0000000000000838.

Hemodynamic monitoring in cardiogenic shock

Tyler J VanDyck  1 , Michael R Pinsky
Affiliations
Review

Hemodynamic monitoring in cardiogenic shock

Tyler J VanDyck et al. Curr Opin Crit Care. .

Abstract

Purpose of review: Cardiogenic shock remains a major cause of mortality today. With recent advancements in invasive mechanical support strategies, reperfusion practice, and a new classification scheme is proposed for cardiogenic shock, an updated review of the latest hemodynamic monitoring techniques is important.

Recent findings: Multiple recent studies have emerged supporting the use of pulmonary artery catheters in the cardiogenic shock population. Data likewise continues to emerge on the use of echocardiography and biomarker measurement in the care of these patients.

Summary: The integration of multiple forms of hemodynamic monitoring, spanning noninvasive and invasive modalities, is important in the diagnosis, staging, initial treatment, and subsequent management of the cardiogenic shock patient.

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Conflict of interest statement

Conflicts of Interest: none

References

    1. Jentzer JC, van Diepen S, Barsness GW, et al. Cardiogenic Shock Classification to Predict Mortality in the Cardiac Intensive Care Unit. J Am Coll Cardiol 2019;74:2117–2128. - PubMed

    1. Baran DA, Grines CL, Bailey S, et al. SCAI clinical expert consensus statement on the classification of cardiogenic shock: Catheter Cardiovasc Interv 2019;94:29–37.

      **This document proposes a new staging system for cardiogenic shock and was endorsed by the American College of Cardiology (ACC), the American Heart Association (AHA), the Society of Critical Care Medicine (SCCM), and the Society of Thoracic Surgeons (STS).

    1. Tehrani BN, Truesdell AG, Sherwood MW, et al. Standardized Team-Based Care for Cardiogenic Shock. J Am Coll Cardiol 2019;73:1659–1669. - PubMed

    1. Chioncel O, Parissis J, Mebazaa A, et al. Epidemiology, pathophysiology and contemporary management of cardiogenic shock - a position statement from the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail 2020;22:1315–1341.

      **This is the most recent position statement from the European Society of Cardiology outlining the diagnosis and management of cardiogenic shock.

    1. Seidlerová J, Tůmová P, Rokyta R, Hromadka M. Factors influencing the accuracy of non-invasive blood pressure measurements in patients admitted for cardiogenic shock. BMC Cardiovasc Disord 2019;19:150. - PMC - PubMed

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