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Review
. 2019 Apr 16;8(8):e011991.
doi: 10.1161/JAHA.119.011991.

Cardiogenic Shock

Cyrus Vahdatpour  1 , David Collins  1 , Sheldon Goldberg  2
Affiliations
Review

Cardiogenic Shock

Cyrus Vahdatpour et al. J Am Heart Assoc. .
No abstract available

Keywords: acute coronary syndrome; cardiogenic shock; revascularization; shock.

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Figures

Figure 1
Figure 1
Physical findings suggestive of the ventricle primarily involved in cardiogenic shock. Often pro‐inflammatory states induced by shock physiology causes a blunted performance of the less affected side. Both sides often contribute to the clinical presentation and physical exam findings.
Figure 2
Figure 2
ECG and coronary angiogram of a 53‐year‐old male who presented following sudden onset of diaphoresis, nausea, and syncope. The patient was profoundly hypotensive on arrival and an ECG revealed complete atrioventricular dissociation with junctional bradycardia. Coronary angiography demonstrated (A) a high‐grade proximal LAD stenosis with Thrombolysis in Myocardial Infarction 2 flow and (B) a total thrombotic proximal right coronary artery (RCA) occlusion. An Impella 2.5 was inserted for left ventricular support and PCI to the LAD was performed with a drug eluting stent. He recovered, the Impella was discontinued, and he was discharged. LAD indicates left anterior descending; PCI, percutaneous intervention.
Figure 3
Figure 3
MCS devices effect on pressure‐volume loops. (1) The normal left ventricular pressure‐volume loop, (2) with effect of IABP and (3) with effect of Impella.55 IABP indicates intra‐aortic balloon pump, PV, pressure volume.
See this image and copyright information in PMC

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