A. Papanikolaou, D. Chlorogiannis, A. Apostolos, Theodoros Mavridis, G. Tsigkas
{"title":"急性心肌梗死并发心源性休克机械支持的进展与挑战:最新数据全面回顾","authors":"A. Papanikolaou, D. Chlorogiannis, A. Apostolos, Theodoros Mavridis, G. Tsigkas","doi":"10.3389/femer.2024.1374291","DOIUrl":null,"url":null,"abstract":"Cardiogenic Shock represents a life-threatening condition characterized by high mortality and a spectrum of clinical presentations, complicating ~5%−10% of patients presenting with Acute Coronary Syndromes. Despite advances in interventional cardiology and emergency medicine, mortality rates remain extremely high and evidence concerning its management is scarce. Consequently, the decision making relies heavily on a single operator's experience. This comprehensive review aims to provide a thorough update on the latest proof regarding mechanical circulatory support devices of the left ventricle and examines the role of the classification scores on the selection of the appropriate patient and timing for the initiation of the device. The five necessary steps to a successful mechanical circulatory support device's insertion. The picture was made by Pixlr AI Image Generator.","PeriodicalId":502453,"journal":{"name":"Frontiers in Disaster and Emergency Medicine","volume":"14 10","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Advances and challenges in mechanical support for cardiogenic shock complicating acute myocardial infarct: a comprehensive review of the latest data\",\"authors\":\"A. Papanikolaou, D. Chlorogiannis, A. Apostolos, Theodoros Mavridis, G. Tsigkas\",\"doi\":\"10.3389/femer.2024.1374291\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Cardiogenic Shock represents a life-threatening condition characterized by high mortality and a spectrum of clinical presentations, complicating ~5%−10% of patients presenting with Acute Coronary Syndromes. Despite advances in interventional cardiology and emergency medicine, mortality rates remain extremely high and evidence concerning its management is scarce. Consequently, the decision making relies heavily on a single operator's experience. This comprehensive review aims to provide a thorough update on the latest proof regarding mechanical circulatory support devices of the left ventricle and examines the role of the classification scores on the selection of the appropriate patient and timing for the initiation of the device. The five necessary steps to a successful mechanical circulatory support device's insertion. The picture was made by Pixlr AI Image Generator.\",\"PeriodicalId\":502453,\"journal\":{\"name\":\"Frontiers in Disaster and Emergency Medicine\",\"volume\":\"14 10\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-06-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Frontiers in Disaster and Emergency Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3389/femer.2024.1374291\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Disaster and Emergency Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3389/femer.2024.1374291","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
心源性休克是一种危及生命的疾病,其特点是死亡率高,临床表现多种多样,约有 5%-10% 的急性冠状动脉综合征患者会并发心源性休克。尽管介入心脏病学和急诊医学取得了进步,但死亡率仍然极高,有关其治疗的证据也很少。因此,决策在很大程度上依赖于单个操作者的经验。本综述旨在全面更新有关左心室机械循环支持装置的最新证据,并探讨分类评分对选择合适患者和启动装置时机的作用。成功植入机械循环支持装置的五个必要步骤。图片由 Pixlr AI 图像生成器制作。
Advances and challenges in mechanical support for cardiogenic shock complicating acute myocardial infarct: a comprehensive review of the latest data
Cardiogenic Shock represents a life-threatening condition characterized by high mortality and a spectrum of clinical presentations, complicating ~5%−10% of patients presenting with Acute Coronary Syndromes. Despite advances in interventional cardiology and emergency medicine, mortality rates remain extremely high and evidence concerning its management is scarce. Consequently, the decision making relies heavily on a single operator's experience. This comprehensive review aims to provide a thorough update on the latest proof regarding mechanical circulatory support devices of the left ventricle and examines the role of the classification scores on the selection of the appropriate patient and timing for the initiation of the device. The five necessary steps to a successful mechanical circulatory support device's insertion. The picture was made by Pixlr AI Image Generator.