Cardiogenic Shock Complicating Myocardial Infarction: An Updated Review
Adel Shabana
Department of cardiology, Hamad Medical Corporation, Qatar and Department of clinical medicine, Weill Cornell Medical School, Qatar.
Mohamed Moustafa
Department of cardiology, Hamad Medical Corporation, Qatar.
Ayman El-Menyar *
Department of clinical medicine, Weill Cornell Medical School, Qatar and Clinical research, Trauma section, Hamad General Hospital, Qatar and Cardiology unit, Ahmed Maher Teaching Hospital, Cairo, Egypt.
Hassan Al-Thani
Vascular surgery, Hamad general hospital, Doha, Qatar.
*Author to whom correspondence should be addressed.
Abstract
The current review aimed to highlight the update management in patients with ischemic Cardiogenic shock (CS) and its impact on mortality. We reviewed the literature using search engine as MIDLINE, SCOPUS, and EMBASE from January 1982 to October 2012. We used key words: “Cardiogenic Shock”. This traditional narrative review did not expand to explore the mechanical complications or other causes of CS. There were 7193 articles assessed by 3 reviewers. We excluded 4173 irrelevant articles, 1660 non-English articles and 93 case-reports. The current review evaluated 888 articles (880 studies and 8 meta-analyses) that were tackling ischemic CS from different points of view before and after the era of SHOCK trial. Ischemic CS remains the most serious complication of acute MI, being associated with high mortality rate both in the acute and long-term setting, despite the advances in its pathophysiology and management. Further randomized trials and guidelines are needed to save resources and lives in patients sustained ischemic CS.
Keywords: Myocardial infarction, cardiogenic, shock, management