FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 330:1724-1730 June 16, 1994 Number 24 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

Major advances in the management of congestive heart failure¹ and acute myocardial infarction² have ushered in a new era of optimism about the prognosis of patients with these disorders. Cardiac failure with cardiogenic shock continues to be a frustrating clinical problem, however, because of persistent mortality rates of 30 to 90 percent and substantial morbidity among hospitalized patients^3,4. The management of this condition requires a rapid, well-organized approach. Avoiding futile intervention that is unlikely to prolong life or give patients a reasonable chance of functional recovery is also increasingly important in this era of limited resources and public awareness . . . [Full Text of this Article]

Definition

Pathophysiology

Clinical Epidemiology

Clinical Assessment

General Management

Intraaortic Balloon Pumping

Thrombolytic Therapy

Percutaneous Transluminal Coronary Angioplasty

Coronary-Artery Bypass Surgery and New Techniques

Overall Aggressiveness of Care and Regionalization

Conclusions

Source Information

From the Division of Cardiology, Department of Medicine, Duke University Medical Center, Durham, N.C. (R.M.C.); and the Michigan Heart and Vascular Institute, Ann Arbor (J.R.B.).

Address reprint requests to Dr. Califf at Box 31123, Duke University Medical Center, Durham, NC 27710.

References

This article has been cited by other articles:

• Aggarwal, S., Cheema, F., Oz, M. C., Naka, Y. (2008). Long-Term Mechanical Circulatory Support. Card Surg Adult 3: 1609-1628 [Full Text]  
• (2005). Part 8: Stabilization of the Patient With Acute Coronary Syndromes. Circulation 112: IV-89-IV-110 [Full Text]  
• Appoloni, O., Dupont, E., Vandercruys, M., Andrien, M., Duchateau, J., Vincent, J.-L. (2004). Association Between the TNF-2 Allele and a Better Survival in Cardiogenic Shock. Chest 125: 2232-2237 [Abstract] [Full Text]  
• Lim, N., Dubois, M.-J., De Backer, D., Vincent, J.-L. (2003). Do All Nonsurvivors of Cardiogenic Shock Die With a Low Cardiac Index?. Chest 124: 1885-1891 [Abstract] [Full Text]  
• Nasraway, S. A. (2003). The Problems and Challenges of Immunotherapy in Sepsis. Chest 123: 451S-459S [Abstract] [Full Text]  
• Graaf, S. d., Voskuil, M., Piek, J. J. (2003). Cardiogenic Shock Complicating an Acute Myocardial Infarction: Conservative Treatment Versus Revascularization. SEMIN CARDIOTHORAC VASC ANESTH 7: 99-103  
• Carnendran, L, Abboud, R, Sleeper, L.A, Gurunathan, R, Webb, J.G, Menon, V, Dzavik, V, Cocke, T, Hochman, J.S, for the SHOCK Investigators, (2001). Trends in cardiogenic shock: report from the SHOCK Study. Eur Heart J 22: 472-478 [Abstract]  
• Wong, S. C., Sanborn, T., Sleeper, L. A., Webb, J. G., Pilchik, R., Hart, D., Mejnartowicz, S., Antonelli, T. A., Lange, R., French, J. K., Bergman, G., LeJemtel, T., Hochman, J. S., for the SHOCK Investigators, (2000). Angiographic findings and clinical correlates in patients with cardiogenic shock complicating acute myocardial infarction: a report from the SHOCK Trial Registry. J Am Coll Cardiol 36: 1077-1083 [Abstract] [Full Text]  
• Webb, J. G., Sleeper, L. A., Buller, C. E., Boland, J., Palazzo, A., Buller, E., White, H. D., Hochman, J. S., for the SHOCK Investigators, (2000). Implications of the timing of onset of cardiogenic shock after acute myocardial infarction: a report from the SHOCK Trial Registry. J Am Coll Cardiol 36: 1084-1090 [Abstract] [Full Text]  
• Williams, S G, Wright, D J, Tan, L B (2000). Management of cardiogenic shock complicating acute myocardial infarction: towards evidence based medical practice. Heart 83: 621-626 [Full Text]  
• Hasdai, D., Califf, R. M., Thompson, T. D., Hochman, J. S., Ohman, E. M., Pfisterer, M., Bates, E. R., Vahanian, A., Armstrong, P. W., Criger, D. A., Topol, E. J., Holmes, D. R. Jr. (2000). Predictors of cardiogenic shock after thrombolytic therapy for acute myocardial infarction. J Am Coll Cardiol 35: 136-143 [Abstract] [Full Text]  
• Hollenberg, S. M., Kavinsky, C. J., Parrillo, J. E. (1999). Cardiogenic Shock. ANN INTERN MED 131: 47-59 [Abstract] [Full Text]  
• Goldberg, R. J., Samad, N. A., Yarzebski, J., Gurwitz, J., Bigelow, C., Gore, J. M. (1999). Temporal Trends in Cardiogenic Shock Complicating Acute Myocardial Infarction. NEJM 340: 1162-1168 [Abstract] [Full Text]  
• Mueller, H. S., Chatterjee, K., Davis, K. B., Fifer, M. A., Franklin, C., Greenberg, M. A., Labovitz, A. J., Shah, P. K., Tuman, K. J., Weil, M. H., Weintraub, W. S., Forrester, J. S., Douglas, P. S., Faxon, D. P., Fisher, J. D., Gibbons, R. J., Halperin, J. L., Hochman, J. S., Hutter, A. M. Jr., Kaul, S., Weintraub, W. S., Winters, W. L. Jr., Wolk, M. J. (1998). Present use of bedside right heart catheterization in patients with cardiac disease. J Am Coll Cardiol 32: 840-864 [Full Text]  
• Landry, D. W., Levin, H. R., Gallant, E. M., Ashton, R. C., Seo, S., D'Alessandro, D., Oz, M. C., Oliver, J. A. (1997). Vasopressin Deficiency Contributes to the Vasodilation of Septic Shock. Circulation 95: 1122-1125 [Abstract] [Full Text]  
• Califf, R. M., White, H. D., Van de Werf, F., Sadowski, Z., Armstrong, P. W., Vahanian, A., Simoons, M. L., Simes, R. J., Lee, K. L., Topol, E. J. (1996). One-Year Results From the Global Utilization of Streptokinase and TPA for Occluded Coronary Arteries (GUSTO-I) Trial. Circulation 94: 1233-1238 [Abstract] [Full Text]