Review
Management of cardiogenic shock complicating acute myocardial infarction: towards evidence based medical practice
S G Williams, D J Wright, L B Tan
Cardiology Research,
Yorkshire Heart Centre, Leeds General Infirmary, Leeds LS1 3EX, UK
Correspondence to: Dr Tan
Accepted 8
March 2000
| The first 150 words of the full text of this article appear below. |
 |
Introduction |
|---|
The treatment of cardiogenic shock is the ultimate challenge of our ability to manage patients presenting with acute myocardial infarction. Despite advances in the treatment of infarcts with thrombolysis, there has been no significant decrease in the incidence of cardiogenic shock, which has remained at 7-10% during the last 20 years.1-5 Hospital mortality was over 90% in the 1970s6 and is still high, in the region of 45-80%, in the 1990s.1 7-9 Attitudes towards treatment of cardiogenic shock range from resignation, providing supportive measures only, to aggressive intervention. In the era of evidence based medical practice, are there data to support adoption of either extreme of approach?
| |
Registry of cardiogenic shock patients |
|---|
The largest prospectively identified registry of patients with
cardiogenic shock so far analysed is from the GUSTO-I (global utilisation of streptokinase and tissue plasminogen activator for
occluded coronary arteries) trial.4 8 10 Of the 41 021 patients recruited into that study, 7.2% (2972) developed cardiogenic shock, with an
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
This article has been cited by other articles:
-
Garcia-Gonzalez, M. J., Dominguez-Rodriguez, A., Ferrer-Hita, J. J., Abreu-Gonzalez, P., Munoz, M. B.
(2006). Cardiogenic shock after primary percutaneous coronary intervention: Effects of levosimendan compared with dobutamine on haemodynamics. Eur J Heart Fail
8: 723-728
[Abstract] [Full Text] -
Lindholm, M.G., Aldershvile, J., Sundgreen, C., Jorgensen, E., Saunamaki, K., Boesgaard, S.
(2003). Effect of early revascularisation in cardiogenic shock complicating acute myocardial infarction. A single center experience. Eur J Heart Fail
5: 73-79
[Abstract] [Full Text] -
Marber, M.S., Redwood, S.R.
(2001). The management of cardiogenic shock: can anything be learnt from registries?. Eur Heart J
22: 444-445
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
- Citation Map
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
