eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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3/2006
vol. 3
 
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abstract:

Anestezjologia i intensywna terapia
How can we increase chances of the patient in cardiogenic shock?

Paweł Nadziakiewicz
,
Piotr Knapik

Kardiochir Torakochir Pol 2006; 3 (3): 304–307
Online publish date: 2006/09/15
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Cardiogenic shock complicating acute myocardial infarction is noticed in about 7% of the patients. Despite advances in its management mortality is still very high and reaches 50%. A strategy for early revascularization infarct-related artery is essential in the management of patients with shock. Besides that various techniques of circulatory support is needed including use of inotropic drugs, intra-aortic baloon pump counterpulsation or ventricular assist devices. Advanced techniques of critical care medicine are important for effective management. Patients are ventilated mechanically to improve and maximize oxygenation. Renal function is supported by hemofiltration. All these therapies are intended to reverse profound disturbances of homeostasis caused by diminished cardiac output and systemic inflammatory response.
keywords:

myocardial infarction, cardiogenic shock

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