Contemporary Management of Cardiogenic Shock A Scientific Statement From the American Heart Association
Contemporary Management of Cardiogenic Shock A Scientific Statement From the American Heart Association
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DOI：
10.1161/cir.0000000000000525
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发表时间：
2017-10-17
期刊：
影响因子：
37.8
通讯作者：
Cohen, Mauricio G.
中科院分区：
文献类型：
--
作者：
van Diepen, Sean;Katz, Jason N.;Cohen, Mauricio G.
心源性休克是一种高急性、潜在复杂、血流动力学多样的终末器官灌注不足状态，常与多系统器官衰竭相关。尽管近年来提高了生存率，但患者发病率和死亡率仍然很高，并且很少有基于证据的治疗干预措施可以明显改善患者结局。这份关于心源性休克的科学声明总结了心源性休克的流行病学、病理生理学、病因和结局;回顾了当代最佳的医疗、外科、机械循环支持和姑息治疗实践;倡导发展区域化的护理系统;并概述了未来的研究重点。
Cardiogenic shock is a high-acuity, potentially complex, and hemodynamically diverse state of end-organ hypoperfusion that is frequently associated with multisystem organ failure. Despite improving survival in recent years, patient morbidity and mortality remain high, and there are few evidence-based therapeutic interventions known to clearly improve patient outcomes. This scientific statement on cardiogenic shock summarizes the epidemiology, pathophysiology, causes, and outcomes of cardiogenic shock; reviews contemporary best medical, surgical, mechanical circulatory support, and palliative care practices; advocates for the development of regionalized systems of care; and outlines future research priorities.