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      Management of cardiogenic shock complicating acute myocardial infarction: A review

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          Abstract

          Despite advances in percutaneous coronary interventions and their widespread use, mortality in patients presenting with acute myocardial infarction (MI) complicated by cardiogenic shock (CS) has remained very high, and treatment options are limited. Limited evidences exist, supporting many of the routinely used therapies in treating these patients. In the present article, we discuss CS complicating MI in general and an update on the currently available treatment options, including inotropes and vasopressor, coronary revascularization, mechanical circulatory support devices, mechanical complications, and long‐term outcomes.

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          Most cited references75

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          Contemporary Management of Cardiogenic Shock: A Scientific Statement From the American Heart Association

          Cardiogenic shock is a high-acuity, potentially complex, and hemodynamically diverse state of end-organ hypoperfusion that is frequently associated with multisystem organ failure. Despite improving survival in recent years, patient morbidity and mortality remain high, and there are few evidence-based therapeutic interventions known to clearly improve patient outcomes. This scientific statement on cardiogenic shock summarizes the epidemiology, pathophysiology, causes, and outcomes of cardiogenic shock; reviews contemporary best medical, surgical, mechanical circulatory support, and palliative care practices; advocates for the development of regionalized systems of care; and outlines future research priorities.
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            2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation

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              Cardiogenic shock: current concepts and improving outcomes.

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                Author and article information

                Contributors
                ashah5@sbgh.mb.ca
                Journal
                Clin Cardiol
                Clin Cardiol
                10.1002/(ISSN)1932-8737
                CLC
                Clinical Cardiology
                Wiley Periodicals, Inc. (New York )
                0160-9289
                1932-8737
                27 March 2019
                April 2019
                : 42
                : 4 ( doiID: 10.1002/clc.2019.42.issue-4 )
                : 484-493
                Affiliations
                [ 1 ] St Boniface Hospital and University of Manitoba Winnipeg Manitoba Canada
                [ 2 ] Cleveland Clinic Foundation Cleveland Ohio
                Author notes
                [*] [* ] Correspondence

                Ashish H. Shah, MD, MD‐Research (UK), MRCP, 3006, 409 Taché Avenue, St Boniface Hospital, Winnipeg, MB, R2H 2A6, Canada.

                Email: ashah5@ 123456sbgh.mb.ca

                Author information
                https://orcid.org/0000-0002-9396-7178
                Article
                CLC23168
                10.1002/clc.23168
                6712338
                30815887
                9199eb3a-aa34-4870-8c95-78c75e4eca6f
                © 2019 The Authors. Clinical Cardiology published by Wiley Periodicals, Inc.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 16 November 2018
                : 15 February 2019
                : 26 February 2019
                Page count
                Figures: 0, Tables: 5, Pages: 10, Words: 9201
                Categories
                Review
                Reviews
                Custom metadata
                2.0
                clc23168
                April 2019
                Converter:WILEY_ML3GV2_TO_NLMPMC version:5.6.7 mode:remove_FC converted:28.08.2019

                Cardiovascular Medicine
                acute myocardial infarction,cardiogenic shock and management
                Cardiovascular Medicine
                acute myocardial infarction, cardiogenic shock and management

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