ConsensusOctober 10, 2017, Volume 136, Issue 15
JOURNAL:Circulation. Article Link
Contemporary Management of Cardiogenic Shock: A Scientific Statement From the American Heart Association
AHA Scientific Statements
Keywords:
AHA Scientific Statements; delivery of health care; disease management; shock, cardiogenic
ABSTRACT
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.