CURRENT CONCEPTS - CARDIOGENIC-SHOCK

被引:183
作者
CALIFF, RM [1 ]
BENGTSON, JR [1 ]
机构
[1] MICHIGAN HEART & VASC INST, ANN ARBOR, MI USA
关键词
D O I
10.1056/NEJM199406163302406
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Major advances in the management of congestive heart failure1 and acute myocardial infarction2 have ushered in a new era of optimism about the prognosis of patients with these disorders. Cardiac failure with cardiogenic shock continues to be a frustrating clinical problem, however, because of persistent mortality rates of 30 to 90 percent and substantial morbidity among hospitalized patients3,4. The management of this condition requires a rapid, well-organized approach. Avoiding futile intervention that is unlikely to prolong life or give patients a reasonable chance of functional recovery is also increasingly important in this era of limited resources and public. © 1994, Massachusetts Medical Society. All rights reserved.
引用
收藏
页码:1724 / 1730
页数:7
相关论文
共 70 条
[1]   PATHOPHYSIOLOGY OF CARDIOGENIC-SHOCK - QUANTIFICATION OF MYOCARDIAL NECROSIS, CLINICAL, PATHOLOGIC AND ELECTROCARDIOGRAPHIC CORRELATIONS [J].
ALONSO, DR ;
SCHEIDT, S ;
POST, M ;
KILLIP, T .
CIRCULATION, 1973, 48 (03) :588-596
[2]  
[Anonymous], 1990, LANCET, V336, P65
[3]  
[Anonymous], 1988, LANCET, V2, P349
[4]  
[Anonymous], 1986, LANCET, V1, P397
[5]   CLINICAL AND HEMODYNAMIC RESULTS OF INTRA-AORTIC BALLOON COUNTERPULSATION AND SURGERY FOR CARDIOGENIC-SHOCK [J].
BARDET, J ;
MASQUET, C ;
KAHN, JC ;
GOURGON, R ;
BOURDARIAS, JP ;
MATHIVAT, A ;
BOUVRAIN, Y .
AMERICAN HEART JOURNAL, 1977, 93 (03) :280-288
[6]   EFFECT OF ISCHEMIA AND ANTIANGINAL DRUGS ON DISTRIBUTION OF RADIOACTIVE MICROSPHERES IN CANINE LEFT VENTR2CLE [J].
BECKER, LC ;
FORTUIN, NJ ;
PITT, B .
CIRCULATION RESEARCH, 1971, 28 (02) :263-&
[7]   PROGNOSIS IN CARDIOGENIC-SHOCK AFTER ACUTE MYOCARDIAL-INFARCTION IN THE INTERVENTIONAL ERA [J].
BENGTSON, JR ;
KAPLAN, AJ ;
PIEPER, KS ;
WILDERMANN, NM ;
MARK, DB ;
PRYOR, DB ;
PHILLIPS, HR ;
CALIFF, RM .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1992, 20 (07) :1482-1489
[8]  
BEYERSDORF F, 1992, TEX HEART I J, V19, P26
[9]   RIGHT VENTRICULAR INFARCTION - CLINICAL AND HEMODYNAMIC FEATURES [J].
COHN, JN ;
GUIHA, NH ;
BRODER, MI ;
LIMAS, CJ .
AMERICAN JOURNAL OF CARDIOLOGY, 1974, 33 (02) :209-214
[10]   THE PREVENTION OF HEART-FAILURE - A NEW AGENDA [J].
COHN, JN .
NEW ENGLAND JOURNAL OF MEDICINE, 1992, 327 (10) :725-727