[Therapy of cardiogenic shock : A success story of German cardiology].
Therapie des kardiogenen Schocks : Eine Erfolgsgeschichte der deutschen Kardiologie.
Cardiogenic shock
Coronary Intervention
Medical therapy
Myocardial infarction
Stent Implantation
Journal
Herz
ISSN: 1615-6692
Titre abrégé: Herz
Pays: Germany
ID NLM: 7801231
Informations de publication
Date de publication:
Feb 2019
Feb 2019
Historique:
pubmed:
11
1
2019
medline:
8
10
2019
entrez:
11
1
2019
Statut:
ppublish
Résumé
In contrast to the situation in the 1960s and 1970s, the mortality risk for patients with myocardial infarction has been clearly reduced, particularly for those with myocardial infarction with cardiogenic shock (MICS). Approximately 5‑10 % of patients with a myocardial infarction are affected by a MICS and the mortality risk is between 30 % and 50 %. The primary percutaneous coronary intervention with stent implantation should be carried out as quickly as possible in order to reduce the mortality to around 20 %. This article gives an overview of the currently available options for conservative and fibrinolytic treatment of MICS, of the interventional treatment of cardiogenic shock in the era of intravenous and intracoronary infarct treatment as well as without thrombolysis. In addition, the currently available mechanical support systems and the possibilities for surveillance and monitoring of patients are presented.
Identifiants
pubmed: 30627739
doi: 10.1007/s00059-018-4773-4
pii: 10.1007/s00059-018-4773-4
doi:
Types de publication
Journal Article
Review
Langues
ger
Sous-ensembles de citation
IM
Pagination
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