[Short- and long-term follow-up care in patients with infarction-related cardiogenic shock]

Dtsch Med Wochenschr. 2022 Sep;147(18):1187-1194. doi: 10.1055/a-1726-1315. Epub 2022 Sep 7.
[Article in German]

Abstract

Infarction-related cardiogenic shock is the most severe complication of an acute coronary syndrome, that still bears a high mortality up to 50 % and wastes a lot of resources of an intensive care unit, especially if extracorporeal assist devices are used.In contrast to the adverse short-term outcome, patients fare a surprisingly well in the long range, both for survival and quality of life. Same as for the acute disease, which needs specific cardiologic and intensive care measures, long-term follow-up care needs a lot of medical and lifestyle interventions and treatments to obtain the best possible result for the patients. Since there is good evidence for cardiologic therapies from randomized controlled trials, high quality data to treat long-term sequalae of the stay on intensive care unit, are sparse.Overall, follow-up care of survivors of infarction related cardiogenic shock includes the best available treatment of the coronary artery disease, intensified heart failure therapy of left and right heart dysfunction and evaluation for the risk of sudden cardiac death and treatment of sequelae of the intensive-care-unit stay.

MeSH terms

  • Acute Coronary Syndrome* / complications
  • Follow-Up Studies
  • Humans
  • Quality of Life
  • Shock, Cardiogenic* / etiology
  • Shock, Cardiogenic* / therapy