The various perioperative issues of structural heart diseases and cardiogenic shock.

Document Type

Article

Publication Date

8-2024

Publication Title

Current problems in cardiology

Abstract

Up to 20 % of patients presenting with acute heart failure and cardiogenic shock have a structural etiology. Despite efforts in timely management, mortality rates remain alarmingly high, ranging from 50 % to 80 %. Surgical intervention is often the definitive treatment for structural heart disease; however, many patients are considered high risk or unsuitable candidates for such procedures. Consequently, there has been a paradigm shift towards the development of novel percutaneous management strategies and temporizing interventions. This article aims to provide a comprehensive review of the pathophysiology of valvular and structural heart conditions presenting in cardiogenic shock, focusing on the evolving landscape of mechanical circulatory support devices and other management modalities.

Volume

49

Issue

8

First Page

102646

DOI

10.1016/j.cpcardiol.2024.102646

ISSN

1535-6280

PubMed ID

38820919

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