Clinical review: mechanical circulatory support for cardiogenic shock complicating acute myocardial infarction

被引：39

作者：

Cove, Matthew E. ^{[1
]}

MacLaren, Graeme ^{[1
,2
]}

机构：

[1] Natl Univ Hlth Syst, Cardiothorac Intens Care Unit, Singapore 119074, Singapore

[2] Royal Childrens Hosp, Paediat Intens Care Unit, Melbourne, Vic, Australia

来源：

CRITICAL CARE | 2010年 / 14卷 / 05期

关键词：

EXTRACORPOREAL MEMBRANE-OXYGENATION; INTRAAORTIC BALLOON COUNTERPULSATION; VENTRICULAR ASSIST DEVICE; ASSOCIATION TASK-FORCE; EARLY REVASCULARIZATION; HEART-FAILURE; PUMP COUNTERPULSATION; AMERICAN-COLLEGE; TRIAL; ADULT;

D O I：

10.1186/cc9229

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Acute myocardial infarction is one of the 10 leading reasons for admission to adult critical care units. In-hospital mortality for this condition has remained static in recent years, and this is related primarily to the development of cardiogenic shock. Recent advances in reperfusion therapies have had little impact on the mortality of cardiogenic shock. This may be attributable to the underutilization of life support technology that may assist or completely supplant the patient's own cardiac output until adequate myocardial recovery is established or long-term therapy can be initiated. Clinicians working in the intensive care environment are increasingly likely to be exposed to these technologies. The purpose of this review is to outline the various techniques of mechanical circulatory support and discuss the latest evidence for their use in cardiogenic shock complicating acute myocardial infarction.

引用

页数：11

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