Furer Ariel, Wessler Jeffrey, Burkhoff Daniel
Internal Medicine T, Tel-Aviv Sourasky Medical Center, 6 Wiezmann street, Tel Aviv 64239, Israel.
Division of Cardiology, Columbia University, 161 Fort Washington Avenue, New York, NY 10032-3784, USA.
Interv Cardiol Clin. 2017 Jul;6(3):359-371. doi: 10.1016/j.iccl.2017.03.006.
Cardiogenic shock (CS) represents an advanced state of morbidity along the pathophysiologic pathway of end-organ hypoperfusion caused by reduced cardiac output and blood pressure. Acute coronary syndromes remain the most common cause of CS. The spectrum of hypoperfusion states caused by low cardiac output ranges from pre-CS to refractory CS and can be characterized by an array of hemodynamic parameters. This review provides the foundation for a hemodynamic understanding of CS including the use of hemodynamic monitoring for diagnosis and treatment, the cardiac and vascular determinants of CS, and a hemodynamic approach to risk stratification and management of CS.
心源性休克（CS）是由于心输出量和血压降低导致终末器官灌注不足的病理生理过程中的一种严重发病状态。急性冠状动脉综合征仍然是CS最常见的原因。由低心输出量引起的灌注不足状态范围从心源性休克前期到难治性心源性休克，可通过一系列血流动力学参数来表征。本综述为从血流动力学角度理解心源性休克提供了基础，包括使用血流动力学监测进行诊断和治疗、心源性休克的心脏和血管决定因素，以及心源性休克风险分层和管理的血流动力学方法。
