Key result
Cardiogenic shock complicating STEMI remains a devastating condition with high mortality despite advances in reperfusion, requiring targeted assessment and echocardiography to identify the cause.
Why the study?
Despite advances in STEMI management and reperfusion strategies, mortality rates remain high for cardiogenic shock complicating STEMI.
This review summarizes the pathophysiology, clinical presentation, and assessment of cardiogenic shock complicating STEMI.
Persistent high mortality in STEMI shock warrants targeted assessment; leaves open optimal interventions beyond reperfusion.
Cardiogenic shock associated with ST segment elevation myocardial infarction (STEMI) is a potentially devastating complication. This type of shock consists of left ventricular dysfunction causing haemodynamic instability and end-organ hypoperfusion resulting in multi-organ dysfunction syndrome. Despite advances in management of STEMI, especially in the realm of reperfusion strategies, mortality rates remain high. The pathophysiology is complex and multifactorial, resulting in a clinical presentation of hypotension and signs of hypoperfusion. Patient assessment comprises a targeted history and a thorough physical examination, with echocardiography playing a pivotal role in identifying the cause.
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Kate O’Donovan (2018) conducted a review in Cardiogenic shock complicating ST-segment elevation myocardial infarction. Cardiogenic shock complicating STEMI remains a devastating condition with high mortality despite advances in reperfusion, requiring targeted assessment and echocardiography to identify the cause.
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