Kapur Navin K, Davila Carlos D, Jumean Marwan F
The Acute Mechanical Support Working Group, The Cardiovascular Center, Tufts Medical Center, 800 Washington Street, Boston, MA 02111, USA.
The Acute Mechanical Support Working Group, The Cardiovascular Center, Tufts Medical Center, 800 Washington Street, Boston, MA 02111, USA.
Interv Cardiol Clin. 2017 Jul;6(3):481-485. doi: 10.1016/j.iccl.2017.03.014. Epub 2017 Apr 22.
Cardiogenic shock remains one of the most common causes of in-hospital death. Recent data have identified an overall increase in patient complexity, with cardiogenic shock in the setting of acute myocardial infarction. The use of percutaneous acute mechanical circulatory support (AMCS) has steadily grown in the past decade. Guidelines and consensus statements addressing proper patient selection, timing of AMCS implantation, device choice, and postimplantation protocol are appearing. The emerging role of interventional heart failure specialists within the heart team includes integration and understanding of advanced hemodynamic and cathether-based therapies, with the goal of improving outcomes.
心源性休克仍然是住院死亡的最常见原因之一。最近的数据显示,患者的复杂性总体有所增加,尤其是在急性心肌梗死背景下的心源性休克。在过去十年中,经皮急性机械循环支持(AMCS)的使用稳步增长。关于合适的患者选择、AMCS植入时机、设备选择和植入后方案的指南和共识声明不断涌现。介入性心力衰竭专家在心脏团队中日益重要的作用包括整合和理解先进的血流动力学和基于导管的治疗方法,目标是改善治疗效果。