Cardiogenic Shock in Emergency Medicine: Clinical Management and Outcomes
A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Cardiology".
Deadline for manuscript submissions: closed (31 May 2024) | Viewed by 4011
Special Issue Editors
Interests: intensive care medicine; cardiogenic shock; cardiorenal syndrome; acute inflammation biomarkers
Special Issue Information
Dear Colleagues,
Cardiogenic shock (CS) remains one of the leading causes of mortality in patients with cardiac diseases. The most frequent trigger of CS is ventricular failure due to myocardial infarction, with mortality rates approaching 50%. Nevertheless, other conditions can be complicated by CS, such as acute myocarditis, arrhythmias, and advanced chronic heart failure.
In this challenging scenario, every effort is needed in order to improve patients’ survival. Historically, inotropes and vasopressors have been the drugs of choice to achieve hemodynamic stabilization and prevent multiorgan system disfunction. Unfortunately, their use may induce several side effects including cardiotoxicity.
Temporary mechanical circulatory support (MCS) devices such as intra-aortic balloon pump, Impella, Tandem heart, and ECMO represent another available therapeutic option to improve organ perfusion and prognosis, limiting the toxicity of catecholamines. Nonetheless, the current available evidence is poor, and thus, it is difficult to draw definitive conclusions regarding the choice of the right device, as well as the safety and timing of implants.
Moreover, there are many factors, such as revascularization strategies, supportive therapies during intensive care unit stay (i.e., ventilation, nutrition, fluid management), and implementation of local cardiogenic shock networks, which could play a key role in improving prognosis.
The present Special Issue aims to offer new insights into the clinical management and the outcomes of patients affected by CS, in order to deepen the knowledge of this challenging condition. In addition, papers focusing on intriguing cases, brief reports, and reviews are encouraged.
Dr. Alberto Somaschini
Dr. Stefano Cornara
Guest Editors
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Keywords
- cardiogenic shock
- mechanical circulatory support devices
- inotropes
- vasopressors
- arrhythmias
- nutritional support
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