The role of acute circulatory support in ST-segment elevation myocardial infarction complicated by cardiogenic shock

Autor: Andrew Mullin, Navin K. Kapur, Yousef Bader, Catalina Breton, Michele Esposito, Robert Pedicini
Jazyk: angličtina
Rok vydání: 2017
Předmět:
medicine.medical_specialty
RD1-811
medicine.medical_treatment
Shock
Cardiogenic

Hemodynamics
Review Article
Acute myocardial infarction
030204 cardiovascular system & hematology
03 medical and health sciences
0302 clinical medicine
Extracorporeal Membrane Oxygenation
Mechanical circulatory support
Internal medicine
Extracorporeal membrane oxygenation
Medicine
ST segment
Humans
Diseases of the circulatory (Cardiovascular) system
030212 general & internal medicine
Myocardial infarction
cardiovascular diseases
Impella
business.industry
Cardiogenic shock
Percutaneous coronary intervention
medicine.disease
Treatment Outcome
surgical procedures
operative

RC666-701
Circulatory system
Cardiology
ST Elevation Myocardial Infarction
Surgery
Heart-Assist Devices
Cardiology and Cardiovascular Medicine
business
Zdroj: Indian Heart Journal, Vol 69, Iss 5, Pp 668-674 (2017)
Indian Heart Journal
ISSN: 0019-4832
Popis: In the setting of ST-segment elevation myocardial infarction (STEMI) complicated by cardiogenic shock, three primary treatment objectives include providing circulatory support, ventricular unloading, and restoring myocardial perfusion. In addition to primary percutaneous coronary intervention, each of these three objectives can be achieved with appropriate use of an acute mechanical circulatory support (AMCS) pump. Over the past decade, utilization of percutaneously-delivered AMCS devices including the Impella axial-flow catheter, TandemHeart left atrial-to-femoral artery bypass system, and veno-arterial extracorporeal membrane oxygenation (VA-ECMO) has grown exponentially. In this review, we will discuss the hemodynamic impact of each AMCS device and clinical data surrounding their use in the setting of STEMI complicated by cardiogenic shock.
Databáze: OpenAIRE