ISSN: 1755-5310 (Electronic)1755-5302 (Print)

Interventional Cardiology

Open Access Journals - Cardiogenic Shock

The clinical definition of cardiogenic shock is decreased cardiac output and evidence of tissue hypoxia in the presence of adequate intravascular volume. Cardiogenic shock is the leading cause of death in acute myocardial infarction (MI), with mortality rates as high as 70-90% in the absence of aggressive, highly experienced technical care. Cardiogenic shock occurs when the heart is unable to supply enough blood to the vital organs of the body. As a result of the failure of the heart to pump enough nutrients to the body, blood pressure falls and organs may begin to fail. Cardiogenic shock is uncommon, but when it does occur, it’s a serious medical emergency. Almost no one survived cardiogenic shock in the past. Today, half of the people who experience cardiogenic shock survive with prompt treatment. This is due to improved treatments and quicker recognition of symptoms. Treatment of cardiogenic shock depends on the cause with the initial goals to improve blood flow to the body. Norepinephrine may be better if the blood pressure is very low whereas dopamine or dobutamine may be more useful if only slightly low. Cardiogenic shock is a condition that is difficult to fully reverse even with an early diagnosis.     

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