Management of cardiogenic shock complicating acute myocardial infarction: A review

Clin Cardiol. 2019 Apr;42(4):484-493. doi: 10.1002/clc.23168. Epub 2019 Mar 27.

Abstract

Despite advances in percutaneous coronary interventions and their widespread use, mortality in patients presenting with acute myocardial infarction (MI) complicated by cardiogenic shock (CS) has remained very high, and treatment options are limited. Limited evidences exist, supporting many of the routinely used therapies in treating these patients. In the present article, we discuss CS complicating MI in general and an update on the currently available treatment options, including inotropes and vasopressor, coronary revascularization, mechanical circulatory support devices, mechanical complications, and long-term outcomes.

Keywords: acute myocardial infarction; cardiogenic shock and management.

Publication types

  • Review

MeSH terms

  • Disease Management*
  • Global Health
  • Humans
  • Myocardial Infarction / complications*
  • Myocardial Infarction / therapy
  • Percutaneous Coronary Intervention / methods*
  • Shock, Cardiogenic / etiology
  • Shock, Cardiogenic / mortality
  • Shock, Cardiogenic / therapy*
  • Survival Rate / trends
  • Thrombolytic Therapy / methods*