Mechanical circulatory support in cardiogenic shock and post-myocardial infarction mechanical complications
Daniel Rob
Jan Bělohlávek
nd Department of Medicine–Department of Cardiovascular Medicine,First Faculty of Medicine,Charles University and General University Hospital,Prague,Czech Republic
摘要：Despite advanced therapies, the mortality of patients with myocardial infarction (MI) complicated by cardioge-nic shock (CS) remains around 50％. Mechanical complications of MI are rare nowadays but associated with high mortality in pa-tients who present with CS. Different treatment strategies and mechanical circulatory support (MCS) devices have been increas-ingly used to improve the grim prognosis of refractory CS. This article discusses current evidence regarding the use of MCS in MI complicated by CS, ventricular septal rupture, free wall rupture and acute mitral regurgitation. Device selection should be tailored according to the cause and severity of CS. Early MCS initiation and multidisciplinary team cooperation is mandatory for good results. MCS associated bleeding remains a major complication and an obstacle to better outcomes. Ongoing prospective randomized trials will improve current knowledge regarding MCS indications, timing, and patient selection in the coming years.
机标关键词：cardiogeniccirculatorycomplicationsinfarctionmechanicalpost-myocardialshocksupport
论文发表日期：2022-02-28
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：7( 130-136 )