Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Heart Fail Clin. 2020 Jul;16(3):283-293. doi: 10.1016/j.hfc.2020.03.001.
The incidence of cardiogenic shock and the utilization of mechanical circulatory support devices are increasing in the US. In this review we discuss the pathophysiology of cardiogenic shock through basic hemodynamic and myocardial energetic principles. We also explore the commonly used platforms for temporary mechanical circulatory support, their advantages, disadvantages and practical considerations relating to implementation and management. It is through the translation of underlying physiological principles that we can attempt to maximize the clinical utility of circulatory support devices and improve outcomes in cardiogenic shock.
在美国，心源性休克的发病率和机械循环支持装置的应用正在增加。在这篇综述中，我们通过基本的血流动力学和心肌能量学原理来讨论心源性休克的病理生理学。我们还探讨了常用的临时机械循环支持平台，它们的优点、缺点以及与实施和管理相关的实际考虑因素。通过对潜在生理原理的理解，我们可以尝试最大限度地提高循环支持装置的临床应用，并改善心源性休克患者的预后。
