Interv Akut Kardiol. 2015;14(4):148-153

Cardiogenic and septic shock in acute myocardial infarction

Milan Hromádka¹, Thomas Karvunidis², Richard Rokyta^1,

Kardiologické oddělení, Komplexní kardiovaskulární centrum, Fakultní nemocnice Plzeň,

¹ Lékařská fakulta v Plzni, Univerzita Karlova v Praze

² I. interní klinika, Fakultní nemocnice Plzeň, Lékařská fakulta v Plzni, Univerzita Karlova v Praze

Cardiogenic shock is a serious complication of acute myocardial infarction with a high mortality rate. A prompt and correct diagnosis

and early revascularisation are the cornerstones of the treatment. Supportive therapy, both pharmacological and nonpharmacological,

including the replacement of failing organs, is another important factor. Cardiogenic shock most frequently occurs in extensive acute

myocardial infarction with ST segment elevation (STEMI). Coincidence with systemic infection, sepsis, or even septic shock is relatively

common. These complications increase the risk and incidence of (multi)organ damage (MODS), patient morbidity and mortality as well

as the costs of medical care and prolong the lenght of hospital stay.

Keywords: myocardial infarction, cardiogenic shock, sepsis, organ dysfunction

Published: December 1, 2015  Show citation