心源性休克
医学
大学医院
重症监护医学
循环系统
循环衰竭
耐火材料(行星科学)
血流动力学
急诊医学
心力衰竭
回顾性队列研究
人口
临床实习
休克(循环)
多学科方法
生命维持
病危
临床终点
心肺复苏术
医疗急救
循环衰竭
多学科团队
血流
体外膜肺氧合
感染性休克
重症监护
作者
Gauthier Jacob,Vincent Tchana-Sato,Paul Massion,Mathieu Lempereur,François Stifkens,Marc Gilbert Lagny,Philippe Amabili
出处
期刊:PubMed
[National Institutes of Health]
日期:2026-03-01
卷期号:81 (3): 178-186
摘要
Cardiogenic shock is characterized by failure of the cardiac pump, requiring early recognition and prompt hemodynamic stabilization. The SCAI-SHOCK classification, which grades severity across five stages, facilitates standardized clinical communication and ensures population homogeneity in clinical trials. In cases of cardiogenic shock refractory to medical treatment, temporary mechanical circulatory support (MCS) is essential to maintain systemic blood flow and preserve end-organ function. This monocentric retrospective study analyzes ten years of experience with temporary MCS at the University Hospital (CHU) of Liège. Data are presented according to ischemic and non-ischemic etiologies. Outcomes of temporary MCS in cardiac arrest refractory to conventional cardiopulmonary resuscitation, as well as the use of monoventricular microaxial pumps, are also evaluated. Close multidisciplinary collaboration is crucial to address reversible causes, limit the duration of low cardiac output, and improve patient prognosis. This study highlights the evolution of management strategies and the importance of integrated care in optimizing clinical outcomes.
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