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Mechanical circulatory support in CS: device or patient?
Open Heart Pub Date : 2021-07-01 , DOI: 10.1136/openhrt-2021-001733
Nuccia Morici 1, 2 , Guido Tavazzi 3
Affiliation  

> Without data, you're just another person with an opinion. > > W. Edwards Deming Cardiogenic shock (CS) is an evolving syndrome due to pump failure and ensuing hypoperfusion as landmark points of the downward spiral leading to multiorgan failure. Among many challenges that need to be addressed, two main critical issues have been coming into focus over the past years: the need for an optimum (early) timing of treatment and a full understanding of an array of ‘CS phenotypes’, requiring tailored therapies. Indeed, the same cardiac insult, acting on top of pre-existing cardiac or systemic disease, can activate different mechanistic drivers yielding to the formation of distinct shock states.1 Whenever is the cause leading to CS, a great emphasis has been recently paid to the protective role of the early mechanical circulatory support (MCS) implantation for stage C–E CS or preceding the revascularisation in patients with acute myocardial infarction (AMI).2 There is no strong evidence as yet regarding better safety and outcome among different percutaneous ventricular-assist devices.3 4 The only, reasonable, certainty is that the early institution …

中文翻译:

CS中的机械循环支持:设备还是患者?

> 没有数据,你只是另一个有意见的人。> > W. Edwards Deming 心源性休克 (CS) 是一种演变综合征,由于泵衰竭和随后的灌注不足是导致多器官衰竭的螺旋式下降的标志点。在需要解决的许多挑战中,两个主要的关键问题在过去几年中成为焦点:需要最佳(早期)治疗时机和全面了解一系列“CS 表型”,需要量身定制的治疗. 事实上,同样的心脏损伤,作用于预先存在的心脏或全身疾病,可以激活不同的机械驱动因素,导致形成不同的休克状态。 1 导致 CS 的原因是什么时候,
更新日期:2021-07-22
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