Cardiogenic shock associated with acute coronary syndrome: the current state of the problem of diagnostics and intensive care. Article

Abstract

Cardiogenic shock is a syndrome of critical hypoperfusion associated with a fatal decrease in myocardial contractile activity. Phenotypically cardiogenic shock is most frequently based on acute coronary syndrome, less often - on postcardiotomy cardiogenic shock and shock due to sepsis. Despite successes in the development of intensive care methods, cardiogenic shock is still accompanied by high mortality. Updating the data on the diagnosis and intensive care of this condition is a necessary condition for improving the quality of medical care. The present work describes modern definitions and ideas about the pathogenesis of cardiogenic shock, as well as the phase concept of intensive care, the role of endovascular revascularization and methods of mechanical circulatory support. The review is emphasized on cardiogenic shock in acute coronary syndrome.