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In patients who sustain an Acute Myocardial Infarction (AMI), Cardiogenic Shock (CS) is the most common cause of inpatient death. Despite significant advances in medical and surgical management, mortality rates approaching 80% have been described in some cohorts. However, the severity of CS and outcomes after AMI vary widely. Management requires a rapid, well-organised response and accurate risk stratification must guide complex decisions on ceilings of therapy in the acute setting. Whilst validated risk scores (e.g. the IABP-SHOCK II score and the CardShock score) are available, as highlighted in the present illustrative case series, their use must be guided by clinical judgement.

journal of cardiovascular medicine and cardiology

Risk stratification to guide management in cardiogenic shock due to acute myocardial infarction. An illustrative case series and review of the literature