[Invasive therapeutic strategies in acute heart failure complicating coronary artery disease: effectiveness and boundaries].
Acute heart failure and especially its most severe form, cardiogenic shock, remain the final common pathway to death in a substantial number of patients with acute myocardial infarction (MI). Several studies demonstrated that mechanical reperfusion of occluded coronary arteries by percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) surgery improves survival in patients with acute MI and cardiogenic shock. There is strong evidence that intraaortic balloon pump (IABP) support and ventricular assist devices can stabilize hemodynamics in these patients so that revascularization procedures can be safely performed. This article provides an overview of the therapeutic strategies for acute MI with cardiogenic shock, with focus on the role and particularities of different devices used as mechanical circulatory support in these patients.
Poerner
Tudor C
TC
Klinik für Innere Medizin I, Friedrich-Schiller-Universität, Erlanger Allee 101, 07747, Jena. tpoerner@googlemail.com
Ferrari
Markus
M
Brehm
Bernhard R
BR
Figulla
Hans R
HR
D000800:Angioplasty, Balloon / Q000379:methods*; D002303:Cardiac Output, Low / Q000150:complications / Q000628:therapy*; D001026:Coronary Artery Bypass / Q000379:methods*; D003324:Coronary Artery Disease / Q000150:complications / Q000628:therapy*; D006353:Heart-Assist Devices; D006801:Humans; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D011379:Prognosis; D012770:Shock, Cardiogenic / Q000150:complications / Q000628:therapy*; D016896:Treatment Outcome