Primary stenting for cardiogenic shock due to right ventricular infarctionThe incidence of cardiogenic shock in community studies has not decreased significantly over time. Despite decreasing mortality rates associated with increased utilization of revascularization, shock remains the leading cause of death for patients hospitalized with acute myocardial infarction (MI). Although shock often develops early after MI onset, it is typically not diagnosed on hospital presentation. Failure to recognize early hemodynamic compromise and the increased early use of hypotension inducing treatments may explain this observation.
Recently, a randomized trial has demonstrated that early revascularization reduces six and 12-month mortality.1,2 The current American College of Cardiology/American Heart Association (ACC/AHA) guidelines recommend the adoption of an early revascularization strategy for patients < 75 years of age with cardiogenic shock.3 In this article, we review the incidence, aetiology, prevention, and recognition of shock, as well as its management
Bali HK, Bhargava M, Bannerjee S. Primary stenting for cardiogenic shock due to right ventricular infarction. Indian Heart J. 1999; 51:608. |
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