心源性休克
医学
循环系统
重症监护医学
心肌梗塞
休克(循环)
随机对照试验
心脏病学
内科学
作者
Bram J. Geller,Shashank S. Sinha,Navin K. Kapur,Marie Bakitas,Leora B. Balsam,Joanna Chikwe,Deborah G. Klein,Ajar Kochar,Sofia Carolina Masri,Daniel B. Sims,Graham C. Wong,Jason N. Katz,Sean van Diepen
出处
期刊:Circulation
[Ovid Technologies (Wolters Kluwer)]
日期:2022-08-09
卷期号:146 (6)
被引量:58
标识
DOI:10.1161/cir.0000000000001076
摘要
The use of temporary mechanical circulatory support in cardiogenic shock has increased dramatically despite a lack of randomized controlled trials or evidence guiding clinical decision-making. Recommendations from professional societies on temporary mechanical circulatory support escalation and de-escalation are limited. This scientific statement provides pragmatic suggestions on temporary mechanical circulatory support device selection, escalation, and weaning strategies in patients with common cardiogenic shock causes such as acute decompensated heart failure and acute myocardial infarction. The goal of this scientific statement is to serve as a resource for clinicians making temporary mechanical circulatory support management decisions and to propose standardized approaches for their use until more robust randomized clinical data are available.
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