Practical management strategies based on the latest data from randomised trials of treatment strategies – including SHOCK, SMASH, and TACTICS – are discussed. Detailed reviews of related therapies such as ventricular assist devices, as well as special problems such as right ventricular myocardial infarction and rhythm disturbances, are provided. The future of potential metabolic support of the myocardium is presented.
Chapter 1. Epidemiology of Cardiogenic Shock.
John G. Webb, MD and Russell F. Kelly, MD.
Chapter 2. Pathophysiology of Cardiogenic Shock.
Francis Q. Almeda, MD and Joseph E. Parrillo, MD.
Chapter 3. Clinical Assessment and Initial Management of Cardiogenic Shock.
Steven M. Hollenberg, MD.
Chapter 4. Fibrinolytic Therapy for Cardiogenic Shock Complicating Acute Myocardial Infarction.
Eric R. Bates, MD.
Chapter 5. Intra–aortic Balloon Counterpulsation for Cardiogenic Shock Complicating Acute Myocardial Infarction.
Mike P. Hudson, MD and E. Magnus Ohman, MD.
Chapter 6. Coronary Artery Bypass Grafting for Cardiogenic Shock.
Verdi J. DiSesa, MD, Manisha A. Patel, MD, and Steven M. Hollenberg, MD.
Chapter 7. Percutaneous Coronary Intervention in Cardiogenic Shock.
Sandeep Nathan, MD and Lloyd W. Klein, MD.
Chapter 8. Randomized Trials of Revascularization Therapy for Cardiogenic Shock.
Philip M. Urban, MD and J.–C. Stauffer, MD.
Chapter 9. Stenting and Other New Developments in Interventional Therapy for Cardiogenic Shock.
David Antoniucci, MD.
III. Other Considerations.
Chapter 10. Right Ventricular Infarction.
Zoran S. Nedeljkovic, MD and Thomas J. Ryan, MD.
Chapter 11. Mechanical Causes of Cardiogenic Shock.
Edward B. Savage, MD.
Chapter 12. Rhythm Disturbances in Cardiogenic Shock.
Sergio L. Pinsky, MD and Michael Shapiro, MD.
Chapter 13. Mechanical Circulatory Assist Devices.
Joseph G. Salloum, MD and Richard W. Smalling, MD, PhD.
Chapter 14. Myocardial Metabolic Support in Cardiogenic Shock.
Carl S. Apstein, MD and Kurt W. Saupe, PhD.
Chapter 15. Epilogue: New Directions in the Future.