Department of Medicine, New York Presbyterian Hospital/Columbia University Medical Center, New York, New York, USA.
Heart Lung. 2012 Sep-Oct;41(5):500-4. doi: 10.1016/j.hrtlng.2012.03.007. Epub 2012 May 16.
Cardiogenic shock remains a deadly complication of acute myocardial infarction (MI). Early revascularization, inotropic support, and intraaortic balloon counterpulsation are the mainstays of treatment, but these are not always sufficient. New mechanical approaches, both percutaneous and surgical, are available in this high-risk population. We present a case of a young woman with a massive anterior wall MI and subsequent cardiogenic shock who was treated with advanced mechanical circulatory support. This case serves as an illustration of the stepwise escalation of mechanical support that can be applied in a patient with an acute MI complicated by refractory cardiogenic shock. We also review the literature with regard to the use of percutaneous left ventricular assist devices in the setting of cardiogenic shock.
心原性休克仍然是急性心肌梗死（MI）的一种致命并发症。早期血运重建、正性肌力支持和主动脉内球囊反搏是治疗的主要方法，但这些方法并不总是足够的。在这一高危人群中，有新的机械方法，包括经皮和手术方法。我们报告了一例年轻女性，她患有大面积前壁 MI 和随后的心原性休克，接受了先进的机械循环支持治疗。该病例说明了在急性 MI 并发难治性心原性休克的患者中，可以逐步应用机械支持的情况。我们还回顾了在心原性休克情况下使用经皮左心室辅助装置的文献。
