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Review
. 2022 May 1;37(3):236-240.
doi: 10.1097/HCO.0000000000000957. Epub 2022 Mar 11.

The landscape of cardiogenic shock: epidemiology and current definitions

Cesar Palacios Ordonez  1 , Arthur Reshad Garan
Affiliations
Review

The landscape of cardiogenic shock: epidemiology and current definitions

Cesar Palacios Ordonez et al. Curr Opin Cardiol. .

Abstract

Purpose of review: Despite novel technologies for treating shock patients, cardiogenic shock mortality remains high. Trends of cardiogenic shock associated with acute myocardial infarction (AMI) have previously been described, though little is known about cardiogenic shock resulting from other causes, which has progressively been documented as a distinct entity from AMI-cardiogenic shock. Herein, we review the evolving epidemiology, novel classification schema, and future perspectives of cardiogenic shock.

Recent findings: While AMI or mechanical complications of AMI are the most common causes, the incidence of etiologies of cardiogenic shock not related to AMI, particularly acute on chronic heart failure, may be increasing, with a growing burden of noncoronary structural heart disease.

Summary: Mortality in cardiogenic shock remains high. Overall, these findings highlight the need to address the lack of effective treatments in this field, particularly for cardiogenic shock caused by diseases other than AMI. Novel classification systems may facilitate cardiogenic shock research.

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