Treatment of patients with cardiogenic shock in the setting of acute myocardial infarction. Case reports.
Cardiogenic shock remains unsolved problem in modern Cardiology. Despite some achievements, in-hospital mortality rate still varies between 52-70%. In era of new developments in the field of circulatory assist devices IABP still remains the main supportive method for patients with shock. The most powerful predictors of hospital survival among shock patients are percutaneous revascularization with stenting and use of Intra-Aortic Balloon Counterpulsation (IABP). As we have experienced: inability to establish circulatory assistance can be fatal even with "open coronaries". Here we want to represent three cases of treatment of patients with ST Elevation Acute Myocardial Infarction complicated with cardiogenic shock.
Gogorishvili
I
I
N. Kipshidze Central University Hospital, Tbilisi, Georgia.
Archvadze
A
A
Kipiani
V
V
Kipshidze
N
N
D000368:Aged; D000800:Angioplasty, Balloon / Q000379:methods*; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001241:Aspirin / Q000627:therapeutic use; D002227:Carbazoles / Q000627:therapeutic use; D000077261:Carvedilol; D000077144:Clopidogrel; D003131:Combined Modality Therapy; D017023:Coronary Angiography; D004359:Drug Therapy, Combination; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis / Q000188:drug therapy* / Q000601:surgery*; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D011412:Propanolamines / Q000627:therapeutic use; D012770:Shock, Cardiogenic / Q000175:diagnosis / Q000188:drug therapy* / Q000601:surgery*; D015607:Stents; D013988:Ticlopidine / Q000031:analogs & derivatives / Q000627:therapeutic use; D014665:Vasodilator Agents / Q000627:therapeutic use
D000894:Anti-Inflammatory Agents, Non-Steroidal; D002227:Carbazoles; D010975:Platelet Aggregation Inhibitors; D011412:Propanolamines; D014665:Vasodilator Agents; D000077261:Carvedilol; D000077144:Clopidogrel; D013988:Ticlopidine; D001241:Aspirin