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MINERVA CARDIOANGIOLOGICA

A Journal on Heart and Vascular Diseases


Official Journal of the Italian Society of Angiology and Vascular Pathology
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Minerva Cardioangiologica 2016 June;64(3):295-304

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

Cardiogenic shock complicating ST-elevation myocardial infarction: a very difficult clinical scenario

Roy BEIGEL, Graham CUMMISKEY, Paul FEFER

Lev and Olga Leviev Heart Center, Sheba Medical Center, Tel Hashomer, Israel


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Cardiogenic shock (CS) is a life threatening condition which complicates 5-15% of acute myocardial infarctions (AMI). Despite advances in medical and interventional techniques during the last decades, the incidence of CS has not changed much, and while survival rates have improved, CS remains the leading cause of AMI-related in-hospital death with mortality rates exceeding 50%. We provide an overview of the pathophysiology, etiology, clinical course, as well as medical and interventional management of patients with CS complicating AMI.

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paulfefer@gmail.com