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Published on: June 12, 2021
Basic mechanisms in cardiogenic shock: part 1-definition and pathophysiology
Konstantin A Krychtiuk1,2, Christiaan Vrints3,4, Johann Wojta1,5,6
1Division of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria.
Cardiogenic shock has high mortality despite medical advances. Current treatments lack strong evidence, highlighting the need for better understanding of its underlying mechanisms like inflammation and microvascular issues.
Area of Science:
- Cardiology
- Critical Care Medicine
Background:
- Cardiogenic shock continues to have high mortality rates.
- Current therapeutic strategies often rely on low-quality evidence.
- There is a need for improved understanding and treatment of cardiogenic shock.
Purpose of the Study:
- To define cardiogenic shock.
- To review current treatment strategies.
- To summarize the pathophysiology of cardiogenic shock, focusing on inflammation and microvascular disturbances.
Main Methods:
- Literature review of current treatment strategies.
- Summary of basic mechanisms in cardiogenic shock pathophysiology.
- Focus on inflammation and microvascular disturbances.
Main Results:
- Cardiogenic shock definition and current treatments are discussed.
- Pathophysiological mechanisms including inflammation and microvascular disturbances are summarized.
- The review highlights the need for evidence-based approaches.
Conclusions:
- High mortality in cardiogenic shock necessitates further research.
- Understanding inflammation and microvascular disturbances may lead to improved diagnostics and therapeutics.
- This review provides a foundation for future interventions in cardiogenic shock management.
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