Journal Article10.1016/J.PCAD.2020.09.001
Acute myocardial infarction and cardiogenic shock: Should we unload the ventricle before percutaneous coronary intervention?
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TL;DR: A review of the pathophysiology and prevalence of shock, limitations of current therapies, and the pre-clinical and translational basis for incorporating LV unloading into contemporary AMI and shock care is reviewed.
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About: This article is published in Progress in Cardiovascular Diseases. The article was published on 11 Sep 2020. The article focuses on the topics: Cardiogenic shock & Myocardial infarction.
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Citations
Improved Outcomes May Be Associated With the Use of Shock Protocols: Updates From the National Cardiogenic Shock Initiative
Mir B Basir
- 21 May 2019
TL;DR: The National Cardiogenic Shock Initiative (NCSI) as mentioned in this paper is a single-arm, prospective multicenter study to assess outcomes associated with early mechanical circulatory support (MCS) in patients presenting with acute myocardial infarction and cardiogenic shock (AMICS) treated with percutaneous coronary intervention (PCI).
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Cardiogenic Shock After Acute Myocardial Infarction: A Review
Marc D. Samsky,David A. Morrow,Alastair G. Proudfoot,Alastair G. Proudfoot,Judith S. Hochman,Holger Thiele,Sunil V. Rao +6 more
TL;DR: In this article, percutaneous mechanical circulatory support devices are frequently used to manage cardiogenic shock following acute myocardial infarction, which is associated with mortality rates of nearly 40% at 30 days and 50% at 1 year.
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•Journal Article
Abstract 19432: Burden of Coronary Artery Disease in Patients With Out-of-Hospital Refractory Ventricular Fibrillation Cardiac Arrest
Demetris Yannopoulos,Jason A. Bartos,Ganesh Raveendran,Marc Conterato,Ralph J. Frascone,Alexander Trembley,Ranjit John,John E. Connett,David G. Benditt,Keith G. Lurie,Robert F. Wilson,Tom P. Aufderheide +11 more
TL;DR: Complex but treatable CAD was prevalent in patients with refractory OH VF/VT cardiac arrest who also met criteria for continuing resuscitation in the CCL and a systems approach using ECLS and reperfusion seemed to improve functionally favorable survival.
133
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Myocardial Reperfusion Injury
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Early Revascularization in Acute Myocardial Infarction Complicated by Cardiogenic Shock
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TL;DR: In patients with cardiogenic shock, emergency revascularization did not significantly reduce overall mortality at 30 days, but after six months there was a significant survival benefit, and earlyRevascularization should be strongly considered for patients with acute myocardial infarction complicated by cardiogenesis.
Intraaortic Balloon Support for Myocardial Infarction with Cardiogenic Shock
Holger Thiele,Uwe Zeymer,Franz-Josef Neumann,Miroslaw Ferenc,Hans-Georg Olbrich,Jörg Hausleiter,Gert Richardt,Marcus Hennersdorf,Klaus Empen,Georg Fuernau,Steffen Desch,Ingo Eitel,Rainer Hambrecht,Jörg Fuhrmann,Michael Böhm,Henning Ebelt,Steffen Schneider,Gerhard Schuler,Karl Werdan +18 more
TL;DR: The use of intraaortic balloon counterpulsation did not significantly reduce 30-day mortality in patients with cardiogenic shock complicating acute myocardial infarction for whom an early revascularization strategy was planned.
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TL;DR: Across the entire spectrum of ACS and in general clinical practice, this model provides excellent ability to assess the risk for death and can be used as a simple nomogram to estimate risk in individual patients.
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