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Circulation. 2017 Oct 17;136(16):e232-e268. doi: 10.1161/CIR.0000000000000525. Epub 2017 Sep 18.

Contemporary Management of Cardiogenic Shock: A Scientific Statement From the American Heart Association.

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.

KEYWORDS:

AHA Scientific Statements; delivery of health care; disease management; shock, cardiogenic

PMID:
28923988
DOI:
10.1161/CIR.0000000000000525
[Indexed for MEDLINE]

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