Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Curr Heart Fail Rep. 2021 Aug;18(4):240-251. doi: 10.1007/s11897-021-00514-1. Epub 2021 May 6.
Cardiogenic shock represents a very challenging patient population due to the undifferentiated pathologies presenting as cardiogenic shock, difficult decision-making, prognostication, and ever-expanding support options. The role of cardiac surgeons on this team is evolving.
The implementation of a shock team is associated with improved outcomes in patients with cardiogenic shock. Early deployment of mechanical circulatory support devices may allow an opportunity to rescue these patients. Cardiothoracic surgeons are a critical component of the shock team who can deploy timely mechanical support and surgical intervention in selected patients for optimal outcomes.
由于心源性休克表现为多种不同的病理，导致诊断困难，决策复杂，预后不佳，且支持治疗方案不断扩展，因此心源性休克患者是极具挑战性的人群。该团队中心脏外科医生的作用正在发生演变。
休克团队的实施与心源性休克患者的预后改善相关。尽早使用机械循环支持设备可能为抢救这些患者提供机会。心胸外科医生是休克团队的关键组成部分，他们可以在有选择的患者中及时部署机械支持和手术干预，以获得最佳效果。
