Open AccessMechanical circulatory support for refractory cardiogenic shock post-acute myocardial infarction—a decade of lessons
Author(s) -
Sanjeet Singh,
Sudeep Das De,
Francesco Nappi,
Ahmed Al-Adhami,
Yasser Hegazy,
Jonathan R. Dalzell,
Harikrishna Doshi,
Andrew Sinclair,
Philip Curry,
Mark C. Petrie,
Colin Berry,
Nawwar AlAttar
Publication year - 2019
Publication title -
journal of thoracic disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.682
H-Index - 60
eISSN - 2077-6624
pISSN - 2072-1439
DOI - 10.21037/jtd.2019.01.21
Subject(s) - cardiogenic shock , medicine , myocardial infarction , circulatory system , refractory (planetary science) , shock (circulatory) , cardiology , intensive care medicine , metallurgy , materials science
There are 0.9 catheterization labs per 100,000 inhabitants in Scotland for percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI), which are much less accessible to patients in remote and rural areas. An uncommon but sinister sequalae following AMI is cardiogenic shock (CS) that could be refractory to inotropic support. CS complicates 5-15% of AMIs occurring in ST-segment elevation myocardial infarctions (STEMIs). Outcomes of CS are poor with mortalities of up to 90% reported in the literature in the absence of experienced care. We report our experience as the tertiary referral centre in Scotland for MCS and heart transplantation over 8 years.