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==Overview==
==Overview==
The incidence of cardiogenic shock among patients with [[acute MI]] is approximately 5% to 10%.<ref>Goldberg RJ, Samad NA, Yarzebski J, et al. Temporal trends in cardiogenic shock complicating acute myocardial infarction. N Engl J Med. Apr 15 1999;340(15):1162-8.</ref><ref>Hasdai D, Holmes DR, Topol EJ, et al. Frequency and clinical outcome of cardiogenic shock during acute myocardial infarction among patients receiving reteplase or alteplase. Results from GUSTO-III. Global Use of Strategies to Open Occluded Coronary Arteries. Eur Heart J. Jan 1999;20(2):128-35.</ref> Because [[atherosclerosis]] and [[myocardial infarction]] are both more frequent among males, cardiogenic shock is more common in this gender. However, because women tend to present with [[acute myocardial infarction]] at a later age, along with the fact that they have a greater chance of having [[multivessel coronary artery disease]] when they first develop [[symptoms]], a greater proportion of women with [[acute MI]] develop cardiogenic shock.<ref>Hasdai D, Califf RM, Thompson TD, et al. Predictors of cardiogenic shock after thrombolytic therapy for acute myocardial infarction. J Am Coll Cardiol. Jan 2000;35(1):136-43.</ref>
The incidence of cardiogenic shock among patients with [[acute MI]] is approximately 5% to 10%.<ref>Goldberg RJ, Samad NA, Yarzebski J, et al. Temporal trends in cardiogenic shock complicating acute myocardial infarction. N Engl J Med. Apr 15 1999;340(15):1162-8.</ref><ref>Hasdai D, Holmes DR, Topol EJ, et al. Frequency and clinical outcome of cardiogenic shock during acute myocardial infarction among patients receiving reteplase or alteplase. Results from GUSTO-III. Global Use of Strategies to Open Occluded Coronary Arteries. Eur Heart J. Jan 1999;20(2):128-35.</ref> Because [[atherosclerosis]] and [[myocardial infarction]] are both more frequent among males, cardiogenic shock is more common in this gender. However, because women tend to present with [[acute myocardial infarction]] at a later age, along with the fact that they have a greater chance of having [[multivessel coronary artery disease]] when they first develop [[symptoms]], a greater proportion of women with [[acute MI]] develop cardiogenic shock.<ref>Hasdai D, Califf RM, Thompson TD, et al. Predictors of cardiogenic shock after thrombolytic therapy for acute myocardial infarction. J Am Coll Cardiol. Jan 2000;35(1):136-43.</ref>


==Epidemiology and Demographics==
==Epidemiology and Demographics==
With the improvement in the time for [[diagnosis]] and [[therapy|therapeutic measures]] offered for [[acute myocardial infarction]], in which increasing rates of use of [[primary PCI]] have a major role, seen in recent years, the once very stable incidence of cardiogenic shock in this group of patients is finally declining.<ref>{{Cite book  | last1 = Hasdai | first1 = David. | title = Cardiogenic shock : diagnosis and treatmen | date = 2002 | publisher = Humana Press | location = Totowa, N.J. | isbn = 1-58829-025-5 | pages =  }}</ref>


==References==
==References==

Revision as of 15:09, 3 May 2014

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]

Overview

The incidence of cardiogenic shock among patients with acute MI is approximately 5% to 10%.[1][2] Because atherosclerosis and myocardial infarction are both more frequent among males, cardiogenic shock is more common in this gender. However, because women tend to present with acute myocardial infarction at a later age, along with the fact that they have a greater chance of having multivessel coronary artery disease when they first develop symptoms, a greater proportion of women with acute MI develop cardiogenic shock.[3]

Epidemiology and Demographics

With the improvement in the time for diagnosis and therapeutic measures offered for acute myocardial infarction, in which increasing rates of use of primary PCI have a major role, seen in recent years, the once very stable incidence of cardiogenic shock in this group of patients is finally declining.[4]

References

  1. Goldberg RJ, Samad NA, Yarzebski J, et al. Temporal trends in cardiogenic shock complicating acute myocardial infarction. N Engl J Med. Apr 15 1999;340(15):1162-8.
  2. Hasdai D, Holmes DR, Topol EJ, et al. Frequency and clinical outcome of cardiogenic shock during acute myocardial infarction among patients receiving reteplase or alteplase. Results from GUSTO-III. Global Use of Strategies to Open Occluded Coronary Arteries. Eur Heart J. Jan 1999;20(2):128-35.
  3. Hasdai D, Califf RM, Thompson TD, et al. Predictors of cardiogenic shock after thrombolytic therapy for acute myocardial infarction. J Am Coll Cardiol. Jan 2000;35(1):136-43.
  4. Hasdai, David. (2002). Cardiogenic shock : diagnosis and treatmen. Totowa, N.J.: Humana Press. ISBN 1-58829-025-5.


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