Pulse Brain · Growing Health Evidence Index
Peer-reviewed

Cardiogenic shock

Enzo Lüsebrink, Leonhard Binzenhöfer, Marianna Adamo, Roberto Lorusso, Alexandre Mebazaa, David A. Morrow, Susanna Price, Jacob C. Jentzer, Daniel Brodie, Alain Combes, Hölger Thiele

The Lancet · 2024

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Summary

Cardiogenic shock is a complex syndrome defined by systemic hypoperfusion and inadequate cardiac output arising from a wide array of underlying causes. Although the understanding of cardiogenic shock epidemiology, specific subphenotypes, haemodynamics, and cardiogenic shock severity staging has evolved, few therapeutic interventions have shown survival benefit. Results from seminal randomised controlled trials support early revascularisation of the culprit vessel in infarct-related cardiogenic shock and provide evidence of improved survival with the use of temporary circulatory support in selected patients. However, numerous questions remain unanswered, including optimal pharmacotherapy regimens, the role of mechanical circulatory support devices, management of secondary organ dysfunction,

Source type
Peer-reviewed study
DOI
10.1016/s0140-6736(24)01818-x
Catalogue ID
SNmojbinfq-skzno0
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