title: Mechanical circulatory devices in acute heart failure.
abstract: Cardiogenic shock remains a leading cause of mortality despite advances in the treatment of myocardial infarction and advanced heart failure. Medical therapy can be inadequate, and patients may need mechanical circulatory support (MCS). The proper application of MCS requires knowledge of the underlying cause of acute heart failure, familiarity with the circulatory support devices, and the potential benefits and limitations of device therapy. This article describes the most commonly used temporary ventricular assist devices and their use in the various causes of cardiogenic shock.
authors.affiliation: Heart and Vascular Institute, University of Pittsburgh Medical Center, Scaife Hall, Suite 556, 200 Lothrop Street, Pittsburgh, PA 15213, USA. Electronic address: teutebergjj@upmc.edu.
authors.forename: Jeffrey J
authors.initials: JJ
authors.lastname: Teuteberg
authors.affiliation: Heart and Vascular Institute, University of Pittsburgh Medical Center, 200 Lothrop Street, B-571.3 Scaife Hall, Pittsburgh, PA 15213, USA.
authors.forename: Josephine C
authors.initials: JC
authors.lastname: Chou
mesh_terms: D001243:Assisted Circulation / Q000295:instrumentation* / Q000592:standards; D004867:Equipment Design; D006333:Heart Failure / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D006353:Heart-Assist Devices; D006801:Humans; D017410:Practice Guidelines as Topic; D012770:Shock, Cardiogenic / Q000209:etiology* / Q000628:therapy*
keywords: Acute heart failure; Cardiogenic shock; Mechanical circulatory support; Ventricular assist device