Clinical review: mechanical circulatory support for cardiogenic shock complicating acute myocardial infarction.
Acute myocardial infarction is one of the 10 leading reasons for admission to adult critical care units. In-hospital mortality for this condition has remained static in recent years, and this is related primarily to the development of cardiogenic shock. Recent advances in reperfusion therapies have had little impact on the mortality of cardiogenic shock. This may be attributable to the underutilization of life support technology that may assist or completely supplant the patient's own cardiac output until adequate myocardial recovery is established or long-term therapy can be initiated. Clinicians working in the intensive care environment are increasingly likely to be exposed to these technologies. The purpose of this review is to outline the various techniques of mechanical circulatory support and discuss the latest evidence for their use in cardiogenic shock complicating acute myocardial infarction.
Cardiothoracic Intensive Care Unit, National University Health System, 5 Lower Kent Ridge Road, Singapore. mattecove@googlemail.com
Matthew E
ME
Cove
Graeme
G
MacLaren
D000818:Animals; D003422:Critical Care / Q000379:methods; D005112:Extracorporeal Circulation / Q000379:methods; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000379:methods; D009203:Myocardial Infarction / Q000150:complications / Q000601:surgery*; D012770:Shock, Cardiogenic / Q000150:complications / Q000601:surgery*