علاج احتشاء عضلة القلب مع ارتفاع الجزء ST المصحوب بصدمة قلبية

References

DOI: 10.1093/eurheartj/ehad191

• Early revascularization with either PCI or CABG is recommended for patients with AMI complicated by CS, based on the results of the SHOCK (Should We Emergently Revascularize Occluded Coronaries for Cardiogenic Shock) trial.
• Immediate coronary angiography and PCI of the IRA (if indicated) is recommended in patients with CS complicating ACS.
• PCI during the index procedure should be restricted to the IRA only.
• Fibrinolysis should be considered in STEMI patients presenting with CS if a PPCI strategy is not available within 120 min from the time of STEMI diagnosis and mechanical complications have been ruled out.
• In patients with ACS and severe/refractory CS, short-term mechanical circulatory support may be considered.