From the Department of Cardiology, John W. Deming Department of Medicine, Tulane University School of Medicine, New Orleans, Louisiana.
Cardiol Rev. 2023;31(4):215-218. doi: 10.1097/CRD.0000000000000485. Epub 2022 Oct 25.
Reversal of cardiogenic shock depends on its early recognition and prompt initiation of therapy. Recognition of the clinical and hemodynamic deterioration that precedes cardiogenic shock is a crucial step in its early detection. Treatment of pre-cardiogenic shock is chiefly pharmacologic with intravenous administration of pressor, inotropic, and loop diuretic agents. Failure to reverse the preshock state with pharmacotherapy entails progression to cardiogenic shock and the need for prompt mechanical circulatory support with membrane oxygenation and possibly left ventricular decompression.
心原性休克的逆转取决于其早期识别和及时开始治疗。识别心原性休克之前的临床和血液动力学恶化是早期发现的关键步骤。治疗早期休克主要采用静脉内给予升压药、正性肌力药和袢利尿剂。如果药物治疗不能逆转休克前状态，则需要迅速进行机械循环支持，包括膜式氧合和可能的左心室减压。
