title: Management of cardiogenic shock complicating acute myocardial infarction.
abstract: Cardiogenic shock complicates approximately 5-10% of cases with acute myocardial infarction and carries a poor prognosis. Early revascularization remains the cornerstone treatment of cardiogenic shock complicating myocardial infarction. Inotropic and/or vasopressor agents can be used for haemodynamic stabilization, although this comes at the expense of increased myocardial oxygen consumption and extended myocardial ischaemia. In recent years, the use of mechanical circulatory support has significantly increased. However, there is only limited data available from randomized trials evaluating the different percutaneous support systems. This review summarizes the available literature concerning the management of cardiogenic shock and gives an overview of the recommendations of the European and German-Austrian guidelines on cardiogenic shock.
authors.affiliation: Department of Intensive Care Medicine and Cardiology, Antwerp University Hospital, University of Antwerp, Belgium jozef.van.herck@uza.be.
authors.forename: Jozef L
authors.initials: JL
authors.lastname: Van Herck
authors.affiliation: Department of Intensive Care Medicine and Cardiology, Antwerp University Hospital, University of Antwerp, Belgium.
authors.forename: Marc J
authors.initials: MJ
authors.lastname: Claeys
authors.affiliation: Department of Intensive Care Medicine and Cardiology, Antwerp University Hospital, University of Antwerp, Belgium.
authors.forename: Rudi
authors.initials: R
authors.lastname: De Paep
authors.affiliation: Department of Intensive Care Medicine and Cardiology, Antwerp University Hospital, University of Antwerp, Belgium.
authors.forename: Paul L
authors.initials: PL
authors.lastname: Van Herck
authors.affiliation: Department of Intensive Care Medicine and Cardiology, Antwerp University Hospital, University of Antwerp, Belgium.
authors.forename: Christiaan J
authors.initials: CJ
authors.lastname: Vrints
authors.affiliation: Department of Intensive Care Medicine and Cardiology, Antwerp University Hospital, University of Antwerp, Belgium.
authors.forename: Philippe G
authors.initials: PG
authors.lastname: Jorens
mesh_terms: D001243:Assisted Circulation / Q000379:methods; D019468:Disease Management; D006801:Humans; D061185:Mechanical Thrombolysis / Q000379:methods; D009203:Myocardial Infarction / Q000150:complications* / Q000628:therapy*; D062645:Percutaneous Coronary Intervention / Q000379:methods; D016032:Randomized Controlled Trials as Topic; D012770:Shock, Cardiogenic / Q000150:complications* / Q000628:therapy*
keywords: Cardiogenic shock; mechanical circulatory support; myocardial infarction