geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Management of myocardial infarction shock: current status


, : Management of myocardial infarction shock: current status. American Heart Journal 117(2): 435-443

Major advances have occurred over the last two decades in the management of myocardial infarction shock, increasing the overall in-hospital survival rate from approximately 15% to more than 50% at the present time with aggressive methods of interventional cardiology. The widespread use of intravenous thrombolytic therapy during the early hours of myocardial infarction has resulted in a decreasing incidence of shock with first myocardial infarctions. Three mechanisms bring about cardiogenic shock: (1) extensive aggregate systolic left ventricular dysfunction, (2) extensive right ventricular infarction, and (3) mechanical defects of the left and/or right ventricles attendant to ischemic dysfunction or rupture. To permit survival in cardiogenic shock, even with maximally aggressive therapy, diagnostic evaluation must be carried out concurrently with clinical stabilization of the patient. IABC is the mainstay for supporting the patient in shock during further efforts at diagnosis and definitive therapy. Definitive therapy for cardiogenic shock may include percutaneous transluminal coronary angioplasty, emergent bypass surgery, or repair of a mechanical defect. This report details the current status of knowledge with respect to pathogenesis, recognition, and definitive treatment of myocardial infarction shock.

US$19.90

PMID: 2644797

DOI: 10.1016/0002-8703(89)90790-4


Other references

Yang, Y.S.; Hong, K.H., 2008: Case of thyroid hemiagenesis and ectopic lingual thyroid presenting as goitre. We report an extremely rare case of thyroid hemiagenesis with ectopic lingual thyroid. Case report and review of the world literature concerning thyroid hemiagenesis with ectopic lingual thyroid and heredity. Ectopic thyroid is an uncommon embryol...

Mezidova, K.A.; Manukhin, B.N.; Sultanov, F.F., 1984: Effect of short-term hyperthermia on the catecholamine content of the organs of albino rats. Isolated fragments of small intestine of Wistar rats exposed to 45 degrees C for 30 and 60 min revealed an increase in adreno- and cholinosensitivity. Normalizing of body temperature was followed by reciprocal changes in adreno- and cholinosensiti...

Horwitz Rudolph C., 1980: The southern boundary of the Pilbara Block during the lower Proterozoic. International Geological Congress, Abstracts--Congres Geologique Internationale, Resumes 26, Vol

Hwang, J-Min.; Lee, J-Hye.; Yeh, J-Yong., 2012: Generation of a monoclonal antibody against Mycoplasma spp. following accidental contamination during production of a monoclonal antibody against Lawsonia intracellularis. This report describes Mycoplasma contamination of Lawsonia intracellularis cultures that led to the unintended acquisition of a monoclonal antibody against Mycoplasma spp. during the attempted generation of a monoclonal antibody against L. intrace...

Ritti-Dias, R.Mendes.; Wolosker, N.; de Moraes Forjaz, Cáudia.Lúcia.; Carvalho, C.Ricardo.Fernandes.; Cucato, G.Grizzo.; Leão, P.Puech.; de Fátima Nunes Marucci, M., 2010: Strength training increases walking tolerance in intermittent claudication patients: randomized trial. To analyze the effects of strength training (ST) in walking capacity in patients with intermittent claudication (IC) compared with walking training (WT) effects. Thirty patients with IC were randomized into ST and WT. Both groups trained twice a w...

Polhemus, Da, 1988: Observations on the swarming behavior of Euchelichir longipes Jeannel in northern Madagascar (Heteroptera: Enicocephalidae). Journal of the New York Entomological Society 96(1): 122-123

Lobato, J.; Pearce, G.; Beilharz, R., 1980: Effect of early familiarization with dietary supplements on the subsequent ingestion of molasses-urea blocks by sheep. An experiment was conducted at two farms (A and B) to determine whether familiarization by sheep with molasses-urea blocks in the pre-weaning period would improve the ingestion of blocks during two later periods. The responses were compared with t...

Meloen, R.H.; Hamilton, W.D.O.; Casal, J.I.; Dalsgaard, K.; Langeveld, J.P.M., 1998: Edible vaccines. The ultimate vaccine is an oral vaccine which given once protects against a multitude of diseases. Furthermore this ultimate vaccine needs to be very stable and inexpensive to produce. Probably this latter condition can be met only if the vaccines...

Herreria, J., 1997: Hospital appeals to decision makers. Focuses marketing efforts on female audience. New Britain General Hospital, Conn. Profiles in Healthcare Marketing 14(1): 27-30

Beard, J.G.; Ragheb, M.G., 1980: Measuring leisure satisfaction. Literature on leisure behaviour was reviewed to identify indicators relevant to the construct leisure satisfaction. That yielded many indicators which were reduced and developed a scale of 59 items. The instrument was subject to two pilot studies....