Acute heart failure and cardiogenic shock – trends at the beginning of 21^st century

Czech version

Authors: Richard Rokyta
Authors‘ workplace: Kardiologické oddělení, Komplexní kardiovaskulární centrum FN Plzeň, LF UK, přednosta prof. MUDr. Richard Rokyta, Ph. D.
Published in: Vnitř Lék 2014; 60(4): 348-353
Category: 60th Birthday - prof. MUDr. Petr Widimský, DrSc., FESC, FACC

Overview

Acute heart failure (AHF) is a clinical syndrome of different etiology and several clinical presentations. Cardiogenic shock patients have highest long-term mortality. In contrast to chronic heart failure, we have no evidence of therapeutic benefit for any treatment strategy from randomized clinical trials. Search for new pharmacologic and non-pharmacologic therapies is ongoing. Both causal and symptomatic treatment of AHF episode should be initiated as soon as possible. This review is focused on trends in acute heart failure therapy at the beginning of 21st century.

Key words:
acute coronary syndrome – acute heart failure – acute myocardial infarction – cardiogenic shock – mechanical circulatory support

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