심장성 쇼크
Cardiogenic shock
조성규, 이상윤,
소속 상세정보
조성규 ( Cho Sung-Kyu )
Seoul National University College of Medicine Department of Thoracic and Cardiovascular Surgery
이상윤 ( Lee Sang-Yun )
Seoul National University College of Medicine Department of Pediatrics
Abstract
Cardiogenic shock is an acute circulatory failure due to compromised myocardial contractility associated with congenital heart diseases and cardiomyopathies, such as myocarditis. In this article, the authors present a 3-step overview of cardiogenic shock diagnosis and management to restore tissue oxygen delivery. The first step is early recognition of nonspecific signs of the shock. The second step is medical management, monitoring, and repeated assessment. In addition to conventional parameters, biomarkers may be useful to monitor the shock. The final step is mechanical circulatory support, such as ventricular assist devices, for children with the refractory shock. We also briefly describe the shock in multisystem inflammatory syndrome in children with coronavirus disease 2019.
키워드
Cardiovascular System; Child; Extracorporeal Membrane Oxygenation; Heart-Assist Devices; Shock; Cardiogenic
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