Cardiac Surgery and Critical Care
Purpose: The purpose of this literature review article is to discuss the different temporary mechanical support modalities for cardiogenic shock after myocardial infarction.
Method: A PubMed literature search was conducted with search terms cardiogenic shock, myocardial infarction, intra-aortic balloon pump, impella, and cardiogenic shock management.
Results: There is no significant morbidity or mortality benefit based on different mechanical support devices in the management of cardiogenic shock.
Conclusion: The literature does not suggest a superior mechanical treatment when evaluating mortality; however, did address post-implementation complications. More research is needed to determine if there is a statistically significant benefit of one mechanical support device over another and if there is a significant difference in complications.
Mayo M. Sometimes The Heart Needs a Little Support: Cardiogenic Shock and The Use of Intraaortic Balloon Pump Versus Impella. University of Lynchburg DMSc Doctoral Project Assignment Repository. 2023; 5(1).
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