Clinical Management of Cardiogenic Shock and Cardiac Arrest
A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Cardiology".
Deadline for manuscript submissions: closed (25 August 2024) | Viewed by 7715
Special Issue Editor
Special Issue Information
Dear Colleagues,
Cardiogenic shock remains a complex disease entity associated with high mortality that compromises the well-being of patients and caregivers in healthcare systems around the world. Increased recognition on the spectral nature of cardiogenic shock has led to interdisciplinary management focused on early diagnostic profiles that can inform clinicians on how to tailor specific interventions and transitions. Importantly, severe refractory cardiogenic shock complicated with cardiac arrest carries an exceedingly high mortality and, paradoxically, is where most of the contemporary high-profile resource intensive interventions are oftentimes utilized. In that context, classifications, team-based approaches and systems of care that allow for early recognition of the disease have emerged in an attempt to halt hemometabolic involvement and provide a pathway towards more defined transitions, including heart recovery or remission. Important progress has been made with the use of specific temporary mechanical circulatory support devices tailoring right, left or biventricular support; however, knowledge gaps remain on the multiple associated clinical interventions required to help patients transition to the ultimate goal of achieving longitudinal well-being. Aspects related with decongestion, weaning and escalation of temporary MCS, as well as strategies that promote ambulation, nutrition, and end-organ recovery (including neuroprotection after cardiac arrest), are some of the ongoing clinical questions that need to be addressed to best understand and guide clinicians in this rapidly evolving field. In this Special Issue, we invite authors to submit papers on the clinical advance of management of cardiogenic shock and cardiac arrest.
Dr. Jaime A. Hernández-Montfort
Guest Editor
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Keywords
- cardiogenic shock
- cardiac arrest
- temporary mechanical circulatory support
- ECMO
- transitions
- heart recovery
- heart replacement
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