prof. MUDr. Jan Bělohlávek, Ph.D.; R. Škulec; T. Kovárník; A. Linhart
II. interní klinika 1. LF UK a VFN, Praha Pšenička M., Aschermann M.
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.