Contemporary Management of Cardiogenic Shock: A Scientific Statement From the American Heart Association

American Heart Association Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Quality of Care and Outcomes Research; and Mission: Lifeline

Research output: Contribution to journalReview article

279 Scopus citations

Abstract

Cardiogenic shock is a high-acuity, potentially complex, and hemodynamically diverse state of end-organ hypoperfusion that is frequently associated with multisystem organ failure. Despite improving survival in recent years, patient morbidity and mortality remain high, and there are few evidence-based therapeutic interventions known to clearly improve patient outcomes. This scientific statement on cardiogenic shock summarizes the epidemiology, pathophysiology, causes, and outcomes of cardiogenic shock; reviews contemporary best medical, surgical, mechanical circulatory support, and palliative care practices; advocates for the development of regionalized systems of care; and outlines future research priorities.

Original languageEnglish (US)
Pages (from-to)e232-e268
JournalCirculation
Volume136
Issue number16
DOIs
StatePublished - Oct 17 2017

Keywords

  • AHA Scientific Statements
  • delivery of health care
  • disease management
  • shock, cardiogenic

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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    American Heart Association Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Quality of Care and Outcomes Research; and Mission: Lifeline (2017). Contemporary Management of Cardiogenic Shock: A Scientific Statement From the American Heart Association. Circulation, 136(16), e232-e268. https://doi.org/10.1161/CIR.0000000000000525