Cardiogenic shock (CS) complicating acute myocardial infarction (MI) is a medical emergency with a high mortality rate. Early revascularization of the infarct-related artery is critical, though often insufficient to reverse the hemodynamic embarrassment. Pharmacologic support with vasopressors and inotropes...
Although emergency cardiac care resources are oriented toward rapid implementation of reperfusion therapy with resultant myocardial salvage and improvement in survival, cardiogenic shock remains the leading cause of death among hospitalized patients with
Cardiogenic shock (CS) is characterized by low cardiac output and sustained tissue hypoperfusion that may result in end-organ dysfunction and death. CS is associated with high short-term mortality, and its management remains challenging despite recent ad
ManagementCardiogenic shock is an emergency requiring the following:Fluid resuscitation to correct hypovolemia and hypotension, unless pulmonary edema is present Prompt initiation of pharmacologic (inotropic) therapy to maintain BP and cardiac output Admission to an intensive care setting (eg, cardiac ...
Interventions:Cardiac care; Emergency care; Vital signs monitoring; Oxygen therapy; Fluid/electrolyte management; Fluid monitoring; Shock management: Volume and cardiac, Medication administration; Resuscitation; Surveillance Planning and Implementation
Figure 3. CICU Management of CS This schematic illustrates the longitudinal and multidisciplinary care pathways for cardiogenic shock (CS) care in a contemporary level 1 cardiac intensive care unit (CICU). CI = cardiac index; CO = cardiac output; CPO = cardiac power output; DNR = Do Not Re...
Cardiogenic shock remains associated with unacceptably high mortality, but recent improvements with early revascularization, continued support with pharmacologic agents, and use of an intra-aortic balloon pump have led to improvements in the rate of mortality. Timely intervention with cardiac surgery in pa...
Experts' recommendations for the management of adult patients with cardiogenic shock. Ann Intensive Care. 2015;5:52.LEVY B,BASTIEN O,KARIM B,et al.Experts′ recommendations for the management of adult patients with cardiogenic shock[J]... - 《Annals of Intensive Care》 被引量: 0发表: 2015年...
Cardiogenic shock which corresponds to an acute state of circulatory failure due to impairment of myocardial contractility is a very rare disease in children, even more than in adults. To date, no international recommendations regarding its management in
Five days into the first course, after initially experiencing diarrhea, nausea, vomiting and a transient episode of retrosternal chest pain radiating to the left scapula, she presented to the emergency department with cardiogenic shock. INVESTIGATIONS: Electrocardiography, transthoracic echocardiography, ...