British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 3, Issue.: 3 (July-September)

Review Article

Cardiogenic Shock Complicating Myocardial Infarction: An Updated Review

 

Adel Shabana^1,2, Mohamed Moustafa¹, Ayman El-Menyar^2,3,4* and Hassan Al-Thani⁵

¹Department of cardiology, Hamad Medical Corporation, Qatar.
²Department of clinical medicine, Weill Cornell Medical School, Qatar.
³Clinical research, Trauma section, Hamad General Hospital, Qatar.
⁴Cardiology unit, Ahmed Maher Teaching Hospital, Cairo, Egypt.
⁵Vascular surgery, Hamad general hospital, Doha, Qatar.

Article Information

Editor(s):

(1) Marianna Mazza, Department of Neurosciences, Catholic University of Sacred Heart, Rome, Italy.

Reviewers:

(1) J. P. S. Henriques, University of Amsterdam, Netherlands.

(2) Anonymous.

(3) Werdan Karl, University Clinics Halle (Saale), Germany.

Complete Peer review History: http://www.sciencedomain.org/review-history/995

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.

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DOI : 10.9734/BJMMR/2013/2464

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