A stepwise progression in the treatment of cardiogenic shock

Ari Pollack, Nir Uriel, Isaac George, Susheel Kodali, Hiroo Takayama, Yoshifumi Naka, Ulrich Jorde

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Cardiogenic shock remains a deadly complication of acute myocardial infarction (MI). Early revascularization, inotropic support, and intraaortic balloon counterpulsation are the mainstays of treatment, but these are not always sufficient. New mechanical approaches, both percutaneous and surgical, are available in this high-risk population. We present a case of a young woman with a massive anterior wall MI and subsequent cardiogenic shock who was treated with advanced mechanical circulatory support. This case serves as an illustration of the stepwise escalation of mechanical support that can be applied in a patient with an acute MI complicated by refractory cardiogenic shock. We also review the literature with regard to the use of percutaneous left ventricular assist devices in the setting of cardiogenic shock.

Original languageEnglish (US)
Pages (from-to)500-504
Number of pages5
JournalHeart and Lung: Journal of Acute and Critical Care
Volume41
Issue number5
DOIs
StatePublished - Sep 1 2012
Externally publishedYes

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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