Cardiogenic shock is a high-acuity, potentially complex, and hemodynamically diverse state of end-organ hypoperfusion that is frequently associated with multisystem organ failure. Despite improving survival in recent years, patient morbidity and mortality remain high, and there are few evidence-based therapeutic interventions known to clearly improve patient outcomes. This scientific statement on cardiogenic shock summarizes the epidemiology, pathophysiology, causes, and outcomes of cardiogenic shock; reviews contemporary best medical, surgical, mechanical circulatory support, and palliative care practices; advocates for the development of regionalized systems of care; and outlines future research priorities.

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心源性休克的当代管理：美国心脏协会的科学声明

心源性休克是终末器官灌注不足的高强度，潜在复杂且血液动力学不同的状态，通常与多系统器官衰竭有关。尽管近年来生存率有所提高，但患者的发病率和死亡率仍然很高，而且很少有基于证据的治疗性干预措施能够明显改善患者的预后。关于心源性休克的科学陈述总结了心源性休克的流行病学，病理生理，原因和结局。审查当代最佳的医学，外科，机械循环支持和姑息治疗实践；提倡发展区域性护理系统；并概述了未来的研究重点。