open access

Vol 46, No 4 (2014 Sep-Oct)
Review articles
Submitted: 2014-10-07
Accepted: 2014-10-07
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Cardiogenic shock — diagnostic and therapeutic options in the light of new scientific data

Filip M. Szymanski, Krzysztof J. Filipiak
DOI: 10.5603/AIT.2014.0049
·
Anaesthesiol Intensive Ther 2014;46(4):301-306.

open access

Vol 46, No 4 (2014 Sep-Oct)
Review articles
Submitted: 2014-10-07
Accepted: 2014-10-07

Abstract

Shock is a manifestation of circulatory failure related to an inadequate supply of oxygenated blood to the tissues. One type of shock is cardiogenic shock resulting from abnormalities of myocardial structure and function, impairment of mechanical function of the heart, or arrhythmia. Most commonly, cardiogenic shock is due to an acute myocardial infarction, particularly involving the anterior wall. However, establishing the diagnosis of cardiogenic shock and determining its aetiology is not always easy. Techniques of invasive haemodynamic monitoring, measurements of specific biomarkers, and noninvasive bedside echocardiography may be helpful. The effectiveness of shock management depends on the ability to institute appropriate therapy rapidly and to remove the underlying aetiologic factor(s). We present a state-of-the-art review of basic approaches used for the diagnosis and management of cardiogenic shock.

Abstract

Shock is a manifestation of circulatory failure related to an inadequate supply of oxygenated blood to the tissues. One type of shock is cardiogenic shock resulting from abnormalities of myocardial structure and function, impairment of mechanical function of the heart, or arrhythmia. Most commonly, cardiogenic shock is due to an acute myocardial infarction, particularly involving the anterior wall. However, establishing the diagnosis of cardiogenic shock and determining its aetiology is not always easy. Techniques of invasive haemodynamic monitoring, measurements of specific biomarkers, and noninvasive bedside echocardiography may be helpful. The effectiveness of shock management depends on the ability to institute appropriate therapy rapidly and to remove the underlying aetiologic factor(s). We present a state-of-the-art review of basic approaches used for the diagnosis and management of cardiogenic shock.

Get Citation

Keywords

cardiogenic shock, aetiology, diagnosis, treatment

About this article
Title

Cardiogenic shock — diagnostic and therapeutic options in the light of new scientific data

Journal

Anaesthesiology Intensive Therapy

Issue

Vol 46, No 4 (2014 Sep-Oct)

Pages

301-306

DOI

10.5603/AIT.2014.0049

Bibliographic record

Anaesthesiol Intensive Ther 2014;46(4):301-306.

Keywords

cardiogenic shock
aetiology
diagnosis
treatment

Authors

Filip M. Szymanski
Krzysztof J. Filipiak

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