OasisLMS

Cardiogenic shock after acute myocardial infarction requires immediate resuscitative therapy to prevent irreversible organ damage. Mortality, although decreased significantly, remains high. Intensivists more frequently encounter patients with cardiogenic shock. The key to a good outcome is an organized approach, with rapid recognition and prompt initiation of therapy to improve hemodynamics, tissue perfusion, ventilatory support, and reversal of the underlying cause. The concept of establishing ventricular support before revascularization stresses the notion that unloading the left ventricle is key to its recovery. Different percutaneous devices for mechanical support have different effects on left ventricular afterload and myocardial oxygen demand. An understanding of the advantages and disadvantages of these devices helps the clinician select the right device in the right setting.