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Updated: Jun 25, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
Cardiogenic shock: a historical perspective
Fredric Ginsberg1, Joseph E Parrillo
1Robert Wood Johnson Medical School at Camden, University of Medicine and Dentistry of New Jersey, Camden, NJ, USA. ginsberg-fredric@cooperhealth.edu
Insights
Cardiogenic shock (CS) care has advanced significantly, with acute myocardial infarction being the most common cause. Prompt diagnosis and therapy improve survival chances for this critical illness.
Area of Science:
- Cardiology
- Critical Care Medicine
Background:
- Cardiogenic shock (CS) is a life-threatening condition characterized by the heart's inability to pump sufficient blood to meet the body's needs.
- Over the past six decades, substantial progress has been made in understanding and managing CS.
Observation:
- Acute myocardial infarction, leading to significant loss of heart muscle function, is the predominant cause of cardiogenic shock.
- Early recognition and swift therapeutic interventions are crucial for improving patient outcomes.
Findings:
- Despite advancements, mortality rates for CS remain high, particularly in elderly patients.
- Modern therapeutic strategies have demonstrably enhanced survival rates for individuals experiencing this critical illness.
Implications:
- Continued research into the pathophysiology and treatment of cardiogenic shock is essential.
- Optimizing diagnostic and therapeutic protocols can further improve the prognosis for patients with CS.
Abstract:
Significant progress has been made over the past 60 years in defining and recognizing cardiogenic shock (CS), and there have been tremendous advances in the care of patients who have this illness. Although there are many causes of this condition, acute myocardial infarction with loss of a large amount of functioning myocardium is the most frequent cause. It was recognized early in the study of CS that prompt diagnosis and rapid initiation of therapy could improve the prognosis, and this remains true today. Although the mortality from CS remains high, especially in elderly populations, modern therapies improve the chance of survival from this critical illness.
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