دورية أكاديمية
Mitral Regurgitation Complicated by Cardiogenic Shock: Reassessing Risk Stratification and Therapeutic Strategies.
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 |
تدمد: | 2211-7466 |
---|---|
DOI: | 10.1016/j.iccl.2023.11.003 |