Cardiogenic Shock – Complex Therapeutical Approach

Authors: prof. MUDr. Jan Bělohlávek, Ph.D.;  R. Škulec;  T. Kovárník;  A. Linhart
Authors‘ workplace: II. interní klinika 1. LF UK a VFN, Praha Pšenička M., Aschermann M.
Published in: Čas. Lék. čes. 2003; : 586-589


Cardiogenic shock belongs to the most severe and immediately life-threatening complications of the acutemyocardialinfarction. Despite development of modern diagnostic and therapeutic methods the incidence and mortality ofcardiogenic shock has not significantly declined in the past decades. Early reperfusion strategy with percutaneousrevascularization has become a cornerstone of therapy. The complex approach to cardiogenic shock comprisespharmacological and mechanical hemodynamic support, ventilatory support utilizing new ventilator regimens,metabolic and renal support/replacement with continuous renal replacement therapies and psychological, eventuallypsychopharmacological support. All these measures enable prevention of the multiple organ failure syndromedevelopment and positively influence high mortality of patients suffering from cardiogenic shock.

Key words:
cardiogenic shock, acute myocardial infarction, reperfusion therapy.

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Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management

Article was published in

Journal of Czech Physicians

2003 Issue 10

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