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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.

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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

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