Post Infarction Cardiogenic Shock: Is It Clinically Important to Differentiate Hemodynamic Patterns?

Yanina Castillo Costa, Víctor Mauro, Adrián Charask, Enrique Fairman, Jorge Leguizamón, Carlos Barrero

Abstract


Despite recent advances in the treatment of cardiogenic shock, it still remains themain cause of death in patients hospitalized for acute myocardial infarction. Althoughcardiogenic shock is classically described as a hemodynamic condition characterizedby low cardiac output, increased filling pressure and elevated systemic vascular resistance,some patients present different patterns, as low systemic resistance, feverand leucocytosis, indicative of an important systemic inflammatory response. Theclinical importance of having one hemodynamic pattern or the other is currently unknown,though the existence of two different hemodynamic patterns should lead toreconsider the support medical treatment in this severely ill group of patients. Theaim of this work was to analyze the incidence of each type of cardiogenic shock (classicand distributive), its clinical characteristics and its in-hospital outcome.

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Revista argentina de cardiología. ISSN en línea 1850-3748. Argentine journal of cardiology (English ed. Online ISSN 2314-2286) Sociedad Argentina de Cardiología. Azcuénaga 980 (C1115AAD),Ciudad Autónoma de Buenos Aires, República Argentina. Tel. (54 11) 4961-6027/8/9 Fax: 4961-6020 www.sac.org.ar revista@sac.org.ar