Cardiogenic shock: elements of etiology, diagnosis, and therapy.
Cardiogenic shock usually is the result of marked depression in myocardial function. Rapid recognition and stabilization are essential if the patient is to survive. A variety of cardiovascular conditions can lead to cardiogenic shock; the most common of these is acute myocardial infarction. Once stabilization of the cardiogenic shock patient has been effected, hemodynamic monitoring and definitive therapy should be attempted if appropriate. Intra-aortic balloon counterpulsation is effective in stabilizing these patients temporarily. Definitive therapy may include surgical or catheterization interventions. Mortality, even under the best of circumstances, remains high.
Alpert
J S
JS
Division of Cardiovascular Medicine, University of Massachusetts Medical Center and School, Worcester.
Becker
R C
RC
D006801:Humans; D012770:Shock, Cardiogenic / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy