Where next in cardiogenic shock owing to myocardial infarction?

Burkhoff, Daniel

doi:10.1038/nrcardio.2015.81

Cited by 12 publications

(8 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…11 However, while effectively unloading the right ventricle, VA-ECMO increases left ventricular afterload and left ventricular end-diastolic pressures. 12,13 In patients with dilated left ventricle and secondary aortic regurgitation due to LV distention, VA-ECMO leads to overload of the left ventricle, further LV compromise and retrograde pulmonary congestion.…”

Section: Introductionmentioning

confidence: 99%

Cardiogenic shock complicating peripartum cardiomyopathy: Importance of early left ventricular unloading and bromocriptine therapy

Sieweke

Pfeffer

Berliner

et al. 2018

European Heart Journal: Acute Cardiovascular Care

View full text Add to dashboard Cite

Mechanical circulatory support in patients with refractory cardiogenic shock complicating peripartum cardiomyopathy was associated with a 30-day survival of 100% and a favourable outcome. Notably, early left ventricular unloading combined with bromocriptine therapy was associated with left ventricular recovery. Therefore, an immediate transfer to a tertiary hospital experienced in mechanical circulatory support in combination with bromocriptine treatment seems indispensable for successful treatment of peripartum cardiomyopathy complicated by cardiogenic shock.

show abstract

Section: Introductionmentioning

confidence: 99%

Cardiogenic shock complicating peripartum cardiomyopathy: Importance of early left ventricular unloading and bromocriptine therapy

Sieweke

Pfeffer

Berliner

et al. 2018

European Heart Journal: Acute Cardiovascular Care

View full text Add to dashboard Cite

show abstract

“…Recently, percutaneous LV assist devices (pLVADs) have emerged as powerful options for managing post-MI patients (3,4), particularly those with cardiogenic shock. Clinical and preclinical studies show superior hemodynamic improvements over the intra-aortic balloon pump in this patient population (5–7), which has been the gold standard for nearly half a century in managing MI patients who require hemodynamic support.…”

Section: Introductionmentioning

confidence: 99%

Acute Left Ventricular Unloading Reduces Atrial Stretch and Inhibits Atrial Arrhythmias

Ishikawa

Watanabe

Lee

et al. 2018

Journal of the American College of Cardiology

View full text Add to dashboard Cite

show abstract

“…In CS, end diastolic and systolic volumes increase, stroke volume decreases, and end systolic pressure decreases reflecting the overall reduction in LV contractility and output 27. MCS devices alter haemodynamics in an attempt to restore CO and normalise perfusion pressures 28…”

Section: Introductionmentioning

confidence: 99%

Cardiogenic shock: evolving definitions and future directions in management

2019

View full text Add to dashboard Cite

Cardiogenic shock (CS) is a complex and highly morbid entity conceptualised as a vicious cycle of injury, cardiac and systemic decompensation, and further injury and decompensation. The pathophysiology of CS is incompletely understood but limited clinical trial experience suggests that early and robust support of the failing heart to allow for restoration of systemic homoeostasis appears critical for survival. We review the pathophysiology, clinical features and trial data to construct a contemporary model of CS as a systemic process characterised with maladaptive compensatory mechanisms requiring prompt and appropriately tailored medical and mechanical support for optimal outcomes. We conclude with an algorithmic approach to acute CS incorporating clinical and haemodynamic data to match the patient’s cardiac and systemic needs as a template for contemporary management.

show abstract

Where next in cardiogenic shock owing to myocardial infarction?

Cited by 12 publications

References 11 publications

Cardiogenic shock complicating peripartum cardiomyopathy: Importance of early left ventricular unloading and bromocriptine therapy

Cardiogenic shock complicating peripartum cardiomyopathy: Importance of early left ventricular unloading and bromocriptine therapy

Acute Left Ventricular Unloading Reduces Atrial Stretch and Inhibits Atrial Arrhythmias

Cardiogenic shock: evolving definitions and future directions in management

Contact Info

Product

Resources

About