Abstract

MARTINEZ SANCHEZ, Carlos Rodolfo; MARTINEZ-REDING G, Jesús Octavio  and  HERRERA, Eulo Lupi. Clinical stratification of cardiogenic shock. Arch. Cardiol. Méx. [online]. 2006, vol.76, suppl.2, pp.261-268. ISSN 1665-1731.

Cardiogenic shock (CHC) associated to acute myocardial infarct has high mortality and their manifestations are heterogenous. In our institution historical mortality, was 98%, but with different methods of reperfusion, its reduced to 53%. In other hand, with opportune clinical stratification is useful to improve the treatment strategy. This stratification on basis in clinical signs: age, infarction location, cardiac frequency and systemic arterial pressure, and hemodynamical valuation with the use of right catheterism with quantification miocardial work parameters like "Cardiac power" that is the product of flow and arterial pressure and that is of utility to know the "Miocardial reserve". In our experience after reperfusion procedure patients with CHC and cardiac power less than 1.0 had highly mortality.

Keywords : Cardiogenic shock; Cardiac output; Myocardial reserve; Cardiac power; Mortality; Acute myocardial infarction.