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Blood Pressure Imbalances and Circulatory Shock

Blood Pressure Imbalances and Circulatory Shock

Disorders affecting blood volume, vascular tone, or vascular function can disrupt vascular homeostasis, including conditions like hypertension, hemorrhage, and shock.
Blood Pressure: Hypertension and Hypotension
Normal blood pressure is 120/80 mm Hg. Elevated blood pressure is 120-129/under 80 mm Hg. Hypertension, warranting treatment at 130/80 mm Hg, is often asymptomatic and can lead to severe cardiovascular events, aneurysms, peripheral arterial disease, chronic renal disease, or cardiac...

Acute Coronary Syndrome I: Introduction

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Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...

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Updated: Jun 12, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

Multivessel Spontaneous Coronary Artery Dissection With Cardiogenic Shock: A Systematic Review.

Ekaterina Kovatsenko¹, Ayman Battisha

¹From the Division of Cardiology, Department of Medicine, University of Louisville School of Medicine, Louisville, KY.

Cardiology in Review

|June 10, 2026

Summary

Spontaneous coronary artery dissection (SCAD) involves vessel tears causing blockages and potential cardiogenic shock. This review examines managing multivessel SCAD, aiming to improve patient outcomes.

Keywords:

ST-segment elevation myocardial infarction cardiogenic shock multivessel, dissection spontaneous coronary artery dissections

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Last Updated: Jun 12, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock

Published on: August 16, 2021

Area of Science:

Cardiology
Vascular Medicine
Medical Research

Background:

Spontaneous coronary artery dissection (SCAD) involves nonatherosclerotic tears in coronary vessels.
Intravascular hematoma formation can compress the lumen, obstructing blood flow.
This obstruction can lead to acute coronary syndrome and cardiogenic shock.

Purpose of the Study:

To systematically review the clinical management of multivessel SCAD.
To address the lack of established guidelines for multivessel SCAD.
To inform approaches for minimizing morbidity and mortality in these cases.

Main Methods:

Systematic literature review.
Analysis of clinical management strategies for multivessel SCAD.
Focus on cases complicated by cardiogenic shock.

Main Results:

Limited literature exists on managing multivessel SCAD.
No official guidelines are currently available for reference.
The review synthesizes current approaches in the absence of established protocols.

Conclusions:

Multivessel SCAD management, especially with cardiogenic shock, requires further investigation.
Generating dialogue on effective treatment strategies is crucial.
The study aims to contribute to developing cogent approaches for better patient outcomes.