Management of non-Cardiac Organ Failure in cardiogenic shock

IF 1.3 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

American heart journal plus : cardiology research and practice Pub Date : 2025-05-01 DOI:10.1016/j.ahjo.2025.100549

Chirag Mehta , Abraham Shin , Brian Osorio , Daniel DePolo , Irene Vargas , Emily Hao , Ali Khan , Sahas Chandragiri , Sandipan Shringi , Paige O. McLean Diaz , Nicholas S. Potter , Mark Godding , Athena Poppas , Rachna Kataria , Marwan Saad , Omar Hyder , Neel R. Sodha , J. Dawn Abbott , Saraschandra Vallabhajosyula

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Abstract

Cardiogenic shock (CS) is a syndrome of low cardiac output leading to systemic hypoperfusion. The mainstay of management involves optimizing preload, afterload, and contractility to restore central hemodynamics. However, CS is frequently complicated by non-cardiac organ failure, for which there is limited guidance. Herein, we review the pathophysiology, assessment, and management of respiratory, renal, hepatic, and neurological failure in the context of CS. This review is intended to provide an evidence-based framework for the management of extracardiac sequelae for the patients in the cardiac and medical intensive care unit.

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心源性休克后非心脏器官衰竭的处理

心源性休克（CS）是一种低心输出量导致全身灌注不足的综合征。管理的主要内容包括优化负荷前、负荷后和收缩力，以恢复中央血流动力学。然而，CS经常并发非心脏器官衰竭，对此指导有限。在此，我们回顾了CS的病理生理学、评估和呼吸、肾脏、肝脏和神经衰竭的管理。本综述旨在为心脏和内科重症监护病房患者的心外后遗症管理提供循证框架。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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