By Judith S. Hochman, E. Magnus Ohman MD

* A accomplished resource of knowledge at the administration of cardiogenic surprise * a part of the AHA medical sequence released along with the yankee center organization * makes a speciality of high-interest and rising issues in heart problems specific to cardiologists and different healthcare companies * a great tool for investigating, comparing and treating some of the most vital lingering demanding situations in acute cardiovascular care

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N Engl J Med 1996;335(11):775–82. 38. Jacobs AK, French JK, Col J, et al. Cardiogenic shock with non-ST-segment elevation myocardial infarction: a report from the SHOCK Trial Registry. SHould we emergently revascularize Occluded coronaries for Cardiogenic shocK? J Am Coll Cardiol 2000;36 (3 Suppl A):1091–6. 39. Hasdai D, Califf RM, Thompson TD, et al. Predictors of cardiogenic shock after thrombolytic therapy for acute myocardial infarction. J Am Coll Cardiol 2000;35(1): 136–43. 40. Hathaway WR, Peterson ED, Wagner GS, et al.

Other important etiologies of cardiogenic shock include end-stage cardiomyopathy, prolonged cardiopulmonary bypass, valvular disease, myocardial contusion, sepsis with unusually profound myocardial depression, fulminant myocarditis, and apical ballooning [1,2]. Concurrent conditions, such as hemorrhage or infection, may also contribute to shock. Regardless of the initiating cause, the primary inciting factor in cardiogenic shock is the heart’s inability to deliver cardiac output sufficient to maintain adequate perfusion.

Swan HJ, Forrester JS, Diamond G, Chatterjee K, Parmley WW. Hemodynamic spectrum of myocardial infarction and cardiogenic shock. A conceptual model. Circulation 1972;45(5):1097–110. 14. Fincke R, Hochman JS, Lowe AM, et al. Cardiac power is the strongest hemodynamic correlate of mortality in cardiogenic shock: a report from the SHOCK trial registry. J Am Coll Cardiol 2004;44(2):340–8. 15. Antman EM. ST-elevation myocardial infaction: Management. In: Zipes DP, Libby P, Bonow RO, Braunwald E, eds.

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