دورية أكاديمية
أعرض في EDS

Mitral Regurgitation Complicated by Cardiogenic Shock: Reassessing Risk Stratification and Therapeutic Strategies.

التفاصيل البيبلوغرافية
العنوان: Mitral Regurgitation Complicated by Cardiogenic Shock: Reassessing Risk Stratification and Therapeutic Strategies.
المؤلفون: Boyle C; Division of Cardiology, Knight Cardiovascular Institute, Oregon Health & Science University, 3161 Southwest Pavilion Loop, Portland, OR 97239, USA., Nguyen K; Division of Cardiology, Knight Cardiovascular Institute, Oregon Health & Science University, 3161 Southwest Pavilion Loop, Portland, OR 97239, USA., Steiner J; Division of Cardiology, Knight Cardiovascular Institute, Oregon Health & Science University, 3161 Southwest Pavilion Loop, Portland, OR 97239, USA., Macon CJ; Division of Cardiology, Knight Cardiovascular Institute, Oregon Health & Science University, 3161 Southwest Pavilion Loop, Portland, OR 97239, USA., Marbach JA; Division of Cardiology, Knight Cardiovascular Institute, Oregon Health & Science University, 3161 Southwest Pavilion Loop, Portland, OR 97239, USA. Electronic address: marbach@ohsu.edu.
المصدر: Interventional cardiology clinics [Interv Cardiol Clin] 2024 Apr; Vol. 13 (2), pp. 191-205. Date of Electronic Publication: 2024 Jan 25.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: Netherlands NLM ID: 101615153 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2211-7466 (Electronic) Linking ISSN: 22117458 NLM ISO Abbreviation: Interv Cardiol Clin Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Amsterdam : Elsevier
مواضيع طبية MeSH: Mitral Valve Insufficiency*/complications , Mitral Valve Insufficiency*/surgery , Heart-Assist Devices*, Humans ; Shock, Cardiogenic/etiology ; Shock, Cardiogenic/therapy ; Clinical Decision-Making ; Risk Assessment
مستخلص: Mitral regurgitation complicated by cardiogenic shock creates a unique and devastating risk profile for patients and poses significant difficulties for physicians who lack a comprehensive range of effective management strategies. Supportive measures such as intravenous vasodilators, intra-aortic balloon pumps, and percutaneous ventricular assist devices are often necessary to stabilize patients prior to definitive treatment with surgical mitral valve replacement or trans-catheter edge-to-edge repair. This review evaluates the evidence for the available supportive and definitive management strategies in patients with mitral regurgitation complicated by cardiogenic shock and presents a framework to aid clinicians in navigating the complex clinical decision-making process. Additionally, the authors review emerging transcatheter mitral valve replacement technologies that hold promise for expanding the therapeutic armamentarium and improving patient outcomes.
Competing Interests: Disclosure The authors have nothing to disclose.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Cardiogenic shock; Mitral regurgitation; Risk stratification; Therapeutic strategies
تواريخ الأحداث: Date Created: 20240303 Date Completed: 20240305 Latest Revision: 20240305
رمز التحديث: 20240305
DOI: 10.1016/j.iccl.2023.11.003
PMID: 38432762
قاعدة البيانات: MEDLINE
الوصف
تدمد:2211-7466
DOI:10.1016/j.iccl.2023.11.003