Tarantini Giuseppe, Masiero Giulia, Thiele Holger, Iannaccone Mario, Schrage Benedikt, Hassager Christian, Woitek Felix, Chieffo Alaide, Møller Jacob Eifer
Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua Medical School, Padua, Italy.
Department of Cardiology, Heart Center Leipzig at University of Leipzig and Leipzig Heart Science, Leipzig, Germany.
Eur Heart J Suppl. 2023 Dec 13;25(Suppl I):I19-I23. doi: 10.1093/eurheartjsupp/suad129. eCollection 2023 Dec.
In patients with cardiogenic shock (CS), particularly those with acute myocardial infarction (AMI), evidence suggests that timely diagnosis and treatment interventions are critical in the prevention of haemo-metabolic compromise. Temporary mechanical circulatory support (tMCS) has shown potential in facilitating revascularization and recovery of patients with acute myocardial infarction cardiogenic shock (AMI-CS). Timing of treatment strategies for CS patients needs to be optimized for use of tMCS devices that are applicable to this heterogeneous patient population. Here, the latest evidence as well as the gaps in knowledge surrounding the role of time in the management of patients with CS is summarized.
在心源 性休克(CS)患者中,尤其是急性心肌梗死(AMI)患者,有证据表明及时诊断和治疗干预对于预防血液代谢紊乱至关重要。临时机械循环支持(tMCS)已显示出在促进急性心肌梗死心源性休克(AMI-CS)患者血管重建和恢复方面的潜力。对于适用于这一异质性患者群体的tMCS设备,需要优化CS患者治疗策略的时机。在此,总结了关于时间在CS患者管理中的作用的最新证据以及知识空白。