Integrating Interventional Cardiology and Heart Failure Management for Cardiogenic Shock

Interv Cardiol Clin. 2017 Jul;6(3):481-485. doi: 10.1016/j.iccl.2017.03.014. Epub 2017 Apr 22.

Abstract

Cardiogenic shock remains one of the most common causes of in-hospital death. Recent data have identified an overall increase in patient complexity, with cardiogenic shock in the setting of acute myocardial infarction. The use of percutaneous acute mechanical circulatory support (AMCS) has steadily grown in the past decade. Guidelines and consensus statements addressing proper patient selection, timing of AMCS implantation, device choice, and postimplantation protocol are appearing. The emerging role of interventional heart failure specialists within the heart team includes integration and understanding of advanced hemodynamic and cathether-based therapies, with the goal of improving outcomes.

Keywords: Cardiogenic shock; Heart team; Interventional heart failure; Mechanical circulatory support.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Cardiology / methods*
  • Disease Management*
  • Extracorporeal Membrane Oxygenation / methods*
  • Heart Failure* / complications
  • Heart Failure* / physiopathology
  • Heart Failure* / therapy
  • Heart-Assist Devices*
  • Hemodynamics
  • Humans
  • Intra-Aortic Balloon Pumping / methods*
  • Patient Selection
  • Shock, Cardiogenic* / etiology
  • Shock, Cardiogenic* / physiopathology
  • Shock, Cardiogenic* / therapy
  • Time Factors