Interventional therapies in acute myocardial infarction complicated by cardiogenic shock

Cardiogenic shock remains the most common cause of death in patients with acute myocardial infarction. Early revascularization of the infarct-related artery has been shown to reduce mortality and is the therapeutic cornerstone. The optimal revascularization strategy of additional non-culprit lesions...

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Bibliographic Details
Published in:Herz 2017-02, Vol.42 (1), p.11-17
Main Authors: de Waha, S., Desch, S., Fuernau, G., Pöss, J., Ledwoch, J., Jobs, A., Eitel, I., Thiele, H.
Format: Article
Language:English
Subjects:
Cardiology
Coronary Artery Disease - diagnosis
Coronary Artery Disease - etiology
Coronary Artery Disease - surgery
Critical Care - methods
Evidence-Based Medicine
Humans
Internal Medicine
Main Topic
Medicine
Medicine & Public Health
Myocardial Revascularization - methods
Shock, Cardiogenic - diagnosis
Shock, Cardiogenic - etiology
Shock, Cardiogenic - surgery
Treatment Outcome
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Summary:Cardiogenic shock remains the most common cause of death in patients with acute myocardial infarction. Early revascularization of the infarct-related artery has been shown to reduce mortality and is the therapeutic cornerstone. The optimal revascularization strategy of additional non-culprit lesions remains yet to be determined. Further, uncertainties exist with respect to access site choice, antiplatelet regimen as well as mechanical support devices. This review outlines current evidence on the interventional management of cardiogenic shock complicating acute myocardial infarction.
ISSN:0340-9937
1615-6692
DOI:10.1007/s00059-016-4511-8