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Updated: Jul 8, 2025

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
Recognizing patients as candidates for temporary mechanical circulatory support along the spectrum of cardiogenic
Andrea Montisci1, Vasileios Panoulas2,3, Alaide Chieffo4
1Division of Cardiothoracic Intensive Care, Cardiothoracic Department, Civil Hospital Brescia, Brescia, Italy.
Abstract:
A growing body of evidence indicates that the benefits of temporary mechanical circulatory support (tMCS) in patients with cardiogenic shock (CS) is dependent on its aetiology and timing of implantation. As such, appropriate diagnosis, screening, selection, and treatment is crucial to achieving good outcomes with tMCS. Here, the latest guidance on CS phenotypes and diagnostics for correctly identifying tMCS candidates is discussed. This includes comprehensive overviews of patient screening with attention given to differences in CS presentation between the sexes, and contraindications for mechanical circulatory support.

