The Place of Thrombolysis and Angioplasty in Acute Heart Failure
Despite many modern advances in the understanding of the pathogenesis and new treatments for myocardial infarction, acute heart failure leading to cardiogenic shock remains a major challenge in these conditions. Mirowski et al.  reported an overview of 1246 consecutive patients treated in community hospitals in the 1970ies. In this group, 12% developed cardiogenic shock during hospitalization. The mortality of that subgroup was 87%. Similar death rates were reported by Scheidt et al. , Gunnar et al. , and Mueller et al. . Despite new treatment modalities including thrombolytic therapy , beta-adrenergic blockers , emergency percutaneous transluminal coronary angioplast (PTCA) [7–10], and emergency coronary artery bypass graft surgery [11–13], this clinical entity still is a clinical problem.
KeywordsAcute Myocardial Infarction Cardiogenic Shock Acute Heart Failure Pump Failure Killip Class
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