Contemporary Management of Cardiogenic Shock: A Scientific Statement from the American Heart Association

Sean Van Diepen, Jason N. Katz, Nancy M. Albert, Timothy D. Henry, Alice K. Jacobs, Navin K. Kapur, Ahmet Kilic, Venu Menon, E. Magnus Ohman, Nancy K. Sweitzer, Holger Thiele, Jeffrey B. Washam, Mauricio G. Cohen

Research output: Contribution to journalReview article

279 Scopus citations

Abstract

Cardiogenic shock is a high-acuity, potentially complex, and hemodynamically diverse state of end-organ hypoperfusion that is frequently associated with multisystem organ failure. Despite improving survival in recent years, patient morbidity and mortality remain high, and there are few evidence-based therapeutic interventions known to clearly improve patient outcomes. This scientific statement on cardiogenic shock summarizes the epidemiology, pathophysiology, causes, and outcomes of cardiogenic shock; reviews contemporary best medical, surgical, mechanical circulatory support, and palliative care practices; advocates for the development of regionalized systems of care; and outlines future research priorities.

Original languageEnglish (US)
Pages (from-to)e232-e268
JournalCirculation
Volume136
Issue number16
DOIs
StatePublished - Oct 17 2017

Keywords

  • AHA Scientific Statements
  • delivery of health care
  • disease management
  • shock, cardiogenic

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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    Van Diepen, S., Katz, J. N., Albert, N. M., Henry, T. D., Jacobs, A. K., Kapur, N. K., Kilic, A., Menon, V., Ohman, E. M., Sweitzer, N. K., Thiele, H., Washam, J. B., & Cohen, M. G. (2017). Contemporary Management of Cardiogenic Shock: A Scientific Statement from the American Heart Association. Circulation, 136(16), e232-e268. https://doi.org/10.1161/CIR.0000000000000525