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Chest, Vol 83, 893-898, Copyright © 1983 by American College of Chest Physicians

ARTICLES

Cardiogenic shock

L Resnekov

The definition, pathophysiology, and diagnosis of cardiogenic shock are presented. Its management is detailed, including specific forms of therapy for the various subgroups of patients in whom cardiogenic shock is an integral part. The choice of patients for and results of circulatory support using the intra-aortic balloon pump followed by early cardiac surgery are presented. The importance of treating hypovolemia, when present, and recognizing cardiogenic shock, a result of right ventricular infarction, is stressed. Early and late prognoses are given. Although the prognosis still remains grave, early aggressive therapy along the lines outlined often succeeds in reducing a mortality rate that otherwise is unacceptably high.


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S G Williams, D J Wright, and L B Tan
Management of cardiogenic shock complicating acute myocardial infarction: towards evidence based medical practice
Heart, June 1, 2000; 83(6): 621 - 626.
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Copyright © 1983 by the American College of Chest Physicians.