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Management of Cardiogenic Shock

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Evidence-Based Critical Care

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Abstract

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 is frequently inadequate to maintain sufficient blood pressure and cardiac output. Much attention has been focused on the use of percutaneous mechanical circulatory supports including intra-aortic balloon pumps (IABP), percutaneous left ventricular assist devices (LVADs), and veno-arterial extracorporeal membrane oxygenation (v-a ECMO). Despite widespread use of these medications and mechanical devices, there are limited data supporting their use. In this chapter we review the guidelines and existing evidence for the management of CS complicating acute MI.

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Authors and Affiliations

  1. Cardiology Division, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA

    Michael G. Silverman

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  1. Michael G. Silverman
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Correspondence to Michael G. Silverman .

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Editors and Affiliations

  1. Division of Pulmonary and Critical Care, University of Michigan, Ann Arbor, MI, USA

    Robert C. Hyzy

  2. Division of Pulmonary and Critical Care, University of Michigan, Ann Arbor, MI, USA

    Jakob McSparron

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Silverman, M.G. (2020). Management of Cardiogenic Shock. In: Hyzy, R.C., McSparron, J. (eds) Evidence-Based Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-030-26710-0_11

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  • DOI: https://doi.org/10.1007/978-3-030-26710-0_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-26709-4

  • Online ISBN: 978-3-030-26710-0

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