医学
心源性休克
血流动力学
休克(循环)
重症监护医学
心脏病学
内科学
心肌梗塞
作者
Sean van Diepen,Janine Pöss,Janek Senaratne,Ann Gage,David A. Morrow
出处
期刊:Circulation
[Ovid Technologies (Wolters Kluwer)]
日期:2024-10-28
卷期号:150 (18): 1459-1468
标识
DOI:10.1161/circulationaha.124.069508
摘要
The classification of cardiogenic shock (CS) has evolved from a singular cold-and wet-hemodynamic profile. Data from registries and clinical trials have contributed to a broader recognition that although all patients with CS have insufficient cardiac output leading to end organ hypoperfusion, there is considerable variability in CS acuity, underlying etiologies, volume status, and systemic vascular resistance. Mixed CS can be broadly categorized as CS with at least 1 additional shock state . Mixed CS states are now the second leading cause of shock in contemporary coronary intensive care units, but there is little high-quality evidence to guide routine care, and there are no standardized classification frameworks or well-established hemodynamic definitions. This primer summarizes the current epidemiology and proposes a classification framework and invasive hemodynamic parameters to guide categorization that could be applied to help better phenotype patients captured in registries and trials, as well as guide management of mixed CS states.
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