Research on Chronic Diseases

Review Articles On Cardiogenic Shock

Cardiogenic shock (CS) remains one of the greatest challenges in cardiology. CS is caused by various conditions that can affect the right and/or the left ventricle (LV); however, the most common causes are related to LV dysfunction. The prevalence of CS is stable, while the prognosis scraps striking, with a 40 to 50% death rate at 30 days. Studies involving patients with CS are scarce, and most data are provided by registries. The CARDSHOCK registry was a multicenter prospective study analyzing the etiology and prognosis of CS. In this registry, acute coronary syndromes (ACS) were answerable for 81% of CS. However, registries yielded inconsistent reports on the etiologies of CS. In addition, the FAST MI registry observed a lowering in CS following ACS, which was associated with the wide use of early reperfusion. However, recent advances in chronic heart failure linked to LV dysfunction have improved the prognosis of these patients.

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