title: Evolving strategies in the treatment of acute myocardial infarction-induced cardiogenic shock.
abstract: Despite advances in medical technology and re-vascularization interventions, the mortality rate for cardiogenic shock (CS) following acute myocardial infarction has remained at 50%. The majority of these mortalities are from left ventricular failure resulting in multi-system organ dysfunction. The field of mechanical circulatory support (MCS) has evolved within the past decade, with improved outcomes from extracorporeal membrane oxygenation as well as continuous-flow left ventricular assist devices (CF LVADs). In this paper, we discuss our institutional treatment strategies, the rationale for the protocol development, and our improved outcomes when using MCS in patients with refractory CS following acute myocardial infarction.
authors.affiliation: Division of Cardiac Surgery, University of Rochester Medical Center, Rochester, New York, USA.
authors.forename: Vakhtang
authors.initials: V
authors.lastname: Tchantchaleishvili
authors.affiliation: Division of Cardiac Surgery, University of Rochester Medical Center, Rochester, New York, USA.
authors.forename: Heidi
authors.initials: H
authors.lastname: Schubmehl
authors.affiliation: Division of Cardiac Surgery, University of Rochester Medical Center, Rochester, New York, USA.
authors.forename: Michael F
authors.initials: MF
authors.lastname: Swartz
authors.affiliation: Division of Cardiac Surgery, University of Rochester Medical Center, Rochester, New York, USA.
authors.forename: William
authors.initials: W
authors.lastname: Hallinan
authors.affiliation: Division of Cardiac Surgery, University of Rochester Medical Center, Rochester, New York, USA.
authors.forename: H Todd
authors.initials: HT
authors.lastname: Massey
keywords: Cardiogenic shock (CS); acute myocardial infarction; mechanical circulatory support (MCS); ventricular assist device (VAD)