ISSN: 1305-385X
Hakkında: Özel sayılar şeklinde yayınlanır.
|
|
|
Cardiogenic Shock
Dr. Özlem ARICAN ÖZLÜK,a Dr. Ömer KOZANa
a
a
aKardiyoloji AD, Dokuz Eylül Üniversitesi Tıp Fakültesi, İZMİR
Cardiogenic shock is a state of inadequate tissue perfusion due to cardiac dysfunction. The most common etiology is acute myocardial infarction with left ventricular failure, but it can also be caused by mechanical complications, such as acute mitral regurgitation or ventricular septal defect, hypertrophic cardiomyopathy, valvular disease, or myocarditis. Mortality rates for patients with cardiogenic shock remain high, ranging from %50 to %80. The pathophysiology of cardiogenic shock involves a downward spiral: ischemia causes myocardial dysfunction, which, in turn, worsens ischemia. The key to achieving a good outcome is an organized approach that includes rapid diagnosis and prompt initiation of therapy to maintain blood pressure and cardiac output. The clinical manifestations and diagnosis of this disorder, the therapy of cardiogenic shock complicating acute MI will be reviewed here.Keywords: Shock, cardiogenic; myocardial ınfarctionTurkiye Klinikleri J Int Med Sci 2007, 3(7):32-41
|
|
|
|
|
