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Lookup NU author(s): Dr Mohaned Egred,
Professor Azfar Zaman,
Dr Mohammad Alkhalil
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
© 2022 The Author(s). Published by IMR Press. Patients with acute myocardial infarction (MI) complicated by cardiogenic shock (CS) have poor prognosis. Over the last two decades, there has been some improvement in mortality rates associated with CS. Initial measures to stabilise patients should follow a shock protocol, including therapies such as volume expansion, inotropes/vasopressors, and early coronary revascularisation. The use of mechanical circulatory support (MCS) devices demonstrated better haemodynamic and metabolic profiles for patients with CS. However, these benefits have not been consistently translated into significant reductions in cardiovascular adverse events. This review aims to discuss emerging concepts related to CS including an update on its classification and pathophysiology. The focus is on recent evidence regarding the use of MCS and the timing of initiating in patients with CS.
Author(s): Al-Atta A, Zaidan M, Abdalwahab A, Asswad AG, Egred M, Zaman A, Alkhalil M
Publication type: Review
Publication status: Published
Journal: Reviews in Cardiovascular Medicine
Online publication date: 21/02/2022
Acceptance date: 27/10/2021
ISSN (print): 1530-6550
ISSN (electronic): 2153-8174
Publisher: NLM (Medline)
PubMed id: 35229562