By Judith S. Hochman, E. Magnus Ohman MD
* A complete resource of knowledge at the administration of cardiogenic surprise * a part of the AHA scientific sequence released along side the yank middle organization * makes a speciality of high-interest and rising subject matters in heart problems certain to cardiologists and different healthcare prone * a great tool for investigating, comparing and treating some of the most vital lingering demanding situations in acute cardiovascular care
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Additional info for Cardiogenic Shock
Cardiogenic shock complicating acute myocardial infarction–etiologies, management and outcome: a report from the SHOCK Trial Registry. SHould we emergently revascularize Occluded Coronaries for cardiogenic shocK? J Am Coll Cardiol 2000;36(3 Suppl A):1063–70. 25. Leor J, Goldbourt U, Reicher-Reiss H, et al. Cardiogenic shock complicating acute myocardial infarction in patients without heart failure on admission: incidence, risk factors, and outcome. SPRINT Study Group. Am J Med 1993;94(3):265–73.
The falling cardiac output also compromises systemic perfusion. Compensatory mechanisms include sympathetic stimulation and fluid retention to increase preload. These mechanisms can actually worsen cardiogenic shock by increasing myocardial oxygen demand and afterload. Thus, a vicious cycle can be established. Abbreviations: LVEDP, left ventricular end diastolic pressure. ) previously compromised LV function may also precipitate shock. Myocardial dysfunction resulting from ischemia worsens that ischemia, creating a downward spiral (Fig.
Magnus Ohman © 2009 American Heart Association ISBN: 978-1-405-17926-3 26 P1: SFK/UKS 9781405179263 P2: SFK/UKS QC: SFK/UKS BLBK160-Hochman T1: SFK February 13, 2009 11:24 Chapter 2 Pathophysiology 27 Acute MR 7% VSD 4% RV shock 3% Rupture 1% Other 7% LV failure 79% Fig. 1 Causes of cardiogenic shock in patients with myocardial infarction in the SHOCK registry (N = 1190) and trial cohort (N = 232 enrolled concurrently to the registry). (Adapted from Hochman, et al. J Am Coll Cardiol 2000;36:1063–1070).