Consenso de shock cardiogénico complicando al infarto agudo de miocardio 2025
In this document we will focus on CS in its most common cause, acute myocardial infarction. It has high morbidity and mortality. It is characterized by a state of sustained tissue hypoperfusion, without response to initial support measures, characterized by arterial hypotension, tachycardia and signs of peripheral hypoperfusion (oligury, cold extremities and deterioration of sensorium) and systemic and pulmonary venous congestion. In 2019, the North American Society of Angiography and Interventions (SCAI) established Shock stages from “A” to “E”: Prompt recognition is imperative for patient survival. The urgent opening of the responsible artery constitutes one of the therapeutic pillars of treatment in patients with AMI that complicate with CS. Coronary angioplasty (CTA) was shown to improve the prognosis, although in some specific situations the use of thrombolytics or revascularization through surgery could be considered. The use of ventricular assist devices for patients in stages D to E.
Authors
- Jorge J. Ricarte (ORCID: https://orcid.org/0000-0002-7040-3249)
- Luis Keller
- Mauricio Priotti (ORCID: https://orcid.org/0000-0002-9272-6663)
- Gerardo Zapata (ORCID: https://orcid.org/0000-0001-5896-760X)
- Miguel Hominal
- Alejandro Meiriño
- Sebastián García-Zamora (ORCID: https://orcid.org/0000-0001-6846-0247)
- Daniel Mauro
- Valeria Franciosi
- Juan Muntaner
- Julio Bono (ORCID: https://orcid.org/0000-0001-7760-6164)
- Raúl Barcudi
- Fernando Bagnera
- Mariela Onocko
- Hugo R. Ramos (ORCID: https://orcid.org/0000-0001-6772-903X)
- Lorena Atencio
- Stella M. Macı́n (ORCID: https://orcid.org/0000-0002-1869-5918)
- Walter Quiroga Castro
- Esteban Rengel
- Leonardo Ripa
- Daniel Zanuttini
- Lorena López
- Mauro Quiroga
- Orlando Carusso
- Luis Freijo
Institutions
- University of Mendoza (AR)
- Aconcagua University (AR)
- National University of Tucumán (AR)
- National University of Jujuy (AR)
- Centro Científico Tecnológico - Santa Fe (AR)
- Centro Científico Tecnológico - Nordeste (AR)
- Centro Científico Tecnólogico - Rosario (AR)
- Instituto Universitario Italiano de Rosario (AR)
- Universidad Champagnat (AR)
- Instituto Oncológico de Córdoba (AR)
- Instituto Cardiovascular de Rosario (AR)
- Fundacion Allende (AR)
Publication Details
- Journal
- Revista de la Federación Argentina de Cardiología
- Published
- 2025-03-05
- DOI
- https://doi.org/10.63600/46eha645
- Primary Topic
- Mechanical Circulatory Support Devices
- Type
- article
- Field-Weighted Citation Impact
- 0.00