TY - JOUR
T1 - How to Manage Temporary Mechanical Circulatory Support Devices in the Critical Care Setting
T2 - Translating Physiology to the Bedside
AU - Rao, Prashant
AU - Katz, Daniel
AU - Hieda, Michinari
AU - Sabe, Marwa
N1 - Funding Information:
Funding: M. Hieda was supported in part by the American Heart Association Strategically Focused Research Network ( 14SFRN20600009-03 ). Dr M. Hieda was also supported by American Heart Association postdoctoral fellowship grant ( 18POST33960092 ) and the Harry S. Moss Heart Trust . D. Katz was supported by a National Institutes of Health grant ( 5T32HL007374-40 ).
Publisher Copyright:
© 2020 Elsevier Inc.
PY - 2020/7
Y1 - 2020/7
N2 - The incidence of cardiogenic shock and the utilization of mechanical circulatory support devices are increasing in the US. In this review we discuss the pathophysiology of cardiogenic shock through basic hemodynamic and myocardial energetic principles. We also explore the commonly used platforms for temporary mechanical circulatory support, their advantages, disadvantages and practical considerations relating to implementation and management. It is through the translation of underlying physiological principles that we can attempt to maximize the clinical utility of circulatory support devices and improve outcomes in cardiogenic shock.
AB - The incidence of cardiogenic shock and the utilization of mechanical circulatory support devices are increasing in the US. In this review we discuss the pathophysiology of cardiogenic shock through basic hemodynamic and myocardial energetic principles. We also explore the commonly used platforms for temporary mechanical circulatory support, their advantages, disadvantages and practical considerations relating to implementation and management. It is through the translation of underlying physiological principles that we can attempt to maximize the clinical utility of circulatory support devices and improve outcomes in cardiogenic shock.
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U2 - 10.1016/j.hfc.2020.03.001
DO - 10.1016/j.hfc.2020.03.001
M3 - Review article
C2 - 32503752
AN - SCOPUS:85085616942
VL - 16
SP - 283
EP - 293
JO - Heart Failure Clinics
JF - Heart Failure Clinics
SN - 1551-7136
IS - 3
ER -