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      CHAPTER 14

      The Management of Cardiogenic Shock and Hemodynamic Support Devices and Techniques

       Bimmer Claessen and José P.S. Henriques

Introduction

      Even in the current era of primary percutaneous coronary intervention (PCI), cardiogenic shock complicating acute myocardial infarction (AMI) remains a dramatic and lethal condition. As of 2020, there is only one proven intervention that results in increased survival of cardiogenic shock complicating MI: prompt reperfusion as shown by the SHOCK (should we emergently revascularize occluded coronaries for cardiogenic shock) trial [1]. In this chapter evidence on medical and mechanical management of cardiogenic shock is discussed.

Definition of Shock

      Shock is defined as a clinical condition where there is inadequate end‐organ perfusion due to failure of the heart to pump blood in adequate quantities. There is currently no uniform definition of cardiogenic shock