What does this research mean for the field?

Cardiogenic shock following acute myocardial infarction can occur without critically raised left ventricular end-diastolic pressure, presenting with right atrial pressures equaling or exceeding pulmonary artery wedge pressures, and requires significant plasma volume expansion and inotropic support for management. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

June 1, 1986HeartOpen Access

Cardiogenic shock without a critically raised left ventricular end diastolic pressure: management and outcome in eighteen patients.

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Why the study?

What are the management strategies and outcomes for patients developing cardiogenic shock after acute myocardial infarction without critically raised left ventricular end diastolic pressure?

Population

18 patients with cardiogenic shock after acute myocardial infarction without a critically raised left…

Design

Case_series

Authors

DEDonna EdwardsJohn L. McClellan Memorial Veterans Hospital SWS. R. F. WhittakerRoyal Surrey County Hospital APAnna-Rose PriorTallaght University Hospital

Discussion

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Implication

Volume expansion and inotropes were associated with survival in most such cases; hypothesis-generating and requires prospective validation.

Structured PICO

What are the management strategies and outcomes for patients developing cardiogenic shock after acute myocardial infarction without critically raised left ventricular end diastolic pressure?

Population

18 patients with cardiogenic shock after acute myocardial infarction without a critically raised left ventricular end diastolic pressure (right atrial pressure equal to or exceeding end expiratory pulmonary artery wedge pressure).

Intervention

Plasma volume expansion (100-2500 ml) to produce optimum pulmonary artery wedge pressure, with additional inotropic support (dopamine) in 11 patients and mechanical ventilation in 6 patients.

Outcome

Survival/mortality and need for heart failure treatment among survivors.hard clinical

In patients with cardiogenic shock post-MI without critically raised LVEDP, volume expansion and inotropic support can lead to survival in the majority of cases.

Cite This Study

Edwards et al. (1986) studied this question.

synapsesocial.com/papers/6a1de1d0ef3fa0b4c0ef8367 https://doi.org/10.1136/hrt.55.6.549

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Implication

Volume expansion and inotropes were associated with survival in most such cases; hypothesis-generating and requires prospective validation.

Cardiogenic shock without a critically raised left ventricular end diastolic pressure: management and outcome in eighteen patients.

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Cardiogenic shock without a critically raised left ventricular end diastolic pressure: management and outcome in eighteen patients.

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider