Villablanca Pedro, Nona Paul, Lemor Alejandro, Qintar Mohammed, O'Neill Brian, Lee James, Frisoli Tiberio, Wang Dee Dee, Eng Marvin H, O'Neill William W
Department of Structural Heart Disease, Division of Cardiology, Henry Ford Health System, 2799 West Grand Boulevard, CFP 4th Floor, Detroit, MI 48202, USA.
Department of Structural Heart Disease, Division of Cardiology, Henry Ford Health System, 2799 West Grand Boulevard, CFP 4th Floor, Detroit, MI 48202, USA.
Interv Cardiol Clin. 2021 Apr;10(2):221-234. doi: 10.1016/j.iccl.2020.12.007. Epub 2021 Feb 15.
Despite advances in cardiovascular care, managing cardiogenic shock caused by structural heart disease is challenging. Patients with cardiogenic shock are critically ill upon presentation and require early disease recognition and rapid escalation of care. Temporary mechanical circulatory support provides a higher level of care than current medical therapies such as vasopressors and inotropes. This review article focuses on the role of hemodynamic monitoring, mechanical circulatory support, and device selection in patients who present with cardiogenic shock due to structural heart disease. Early initiation of appropriate mechanical circulatory support may reduce morbidity and mortality.
尽管心血管护理取得了进展，但管理由结构性心脏病引起的心源性休克仍具有挑战性。心源性休克患者就诊时病情危重，需要早期疾病识别和迅速加强治疗。与目前的药物治疗如血管加压药和正性肌力药相比，临时机械循环支持提供了更高水平的治疗。这篇综述文章重点关注血流动力学监测、机械循环支持以及设备选择在因结构性心脏病导致的心源性休克患者中的作用。早期启动适当的机械循环支持可能会降低发病率和死亡率。
