tailieunhanh - Báo cáo y học: "Clinical review: mechanical circulatory support for cardiogenic shock complicating acute myocardial infarction"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Clinical review: mechanical circulatory support for cardiogenic shock complicating acute myocardial infarction. | Cove and MacLaren Critical Care 2010 14 235 http content 14 5 235 CRITICAL CARE REVIEW L_ Clinical review mechanical circulatory support for cardiogenic shock complicating acute myocardial infarction Matthew E Cove 1 and Graeme MacLaren -2 Abstract Acute myocardial infarction is one of the 10 leading reasons for admission to adult critical care units. In-hospital mortality for this condition has remained static in recent years and this is related primarily to the development of cardiogenic shock. Recent advances in reperfusion therapies have had little impact on the mortality of cardiogenic shock. This may be attributable to the underutilization of life support technology that may assist or completely supplant the patient s own cardiac output until adequate myocardial recovery is established or long-term therapy can be initiated. Clinicians working in the intensive care environment are increasingly likely to be exposed to these technologies. The purpose of this review is to outline the various techniques of mechanical circulatory support and discuss the latest evidence for their use in cardiogenic shock complicating acute myocardial infarction. Introduction The in-hospital mortality for acute myocardial infarction AMI is currently around 7 1 . Death is related predominantly to the development of cardiogenic shock which affects 5 to 10 of all cases of AMI and has a mortality rate of 50 to 90 2 3 . Patients who develop cardiogenic shock frequently require critical care services and AMI is one of the 10 leading causes for admission to adult critical care units 4 . Over the past three decades revascularization therapy has revolutionized care for these patients. Recent studies support prompt percutaneous coronary intervention PCI when Correspondence Registrar Intensivist- Cardiothoracic Intensive Care Unit- National University Health System 5 Lower Kent Ridge Road- Singapore 1 9074 Full list of author information is available at