cardiovascularКардиоваскулярная терапия и профилактикаCardiovascular Therapy and Prevention1728-88002619-0125«SILICEA-POLIGRAF» LLC10.15829/1728-8800-2020-2661cardiovascular-2661Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEW ARTICLESСовременные подходы к определению и лечению кардиогенного шока при инфаркте миокардаModern approaches to the diagnosis and treatment of cardiogenic shock complicating acute myocardial infarctionhttps://orcid.org/0000-0002-1293-2206СердечнаяА. Ю.SerdechnayaA. Yu.

Врач-кардиолог кардиологического отделения острого коронарного синдрома.

Барнаул, Тел.: +7 (929) 399-79-34, +7 (3852) 50-89-33

Barnaul

anast.yur@ya.ruhttps://orcid.org/0000-0001-8328-4050СукмановаИ. А.SukmanovaI. A.

Доктор медицинских наук, заведующий кардиологическим отделением острого коронарного синдрома; доцент кафедры терапии и общей врачебной практики с курсом ДПО.

Барнаул

Barnaul

vdovinai@yandex.ruКраевое ГБУЗ Алтайский краевой кардиологический диспансерAltai Regional Cardiological DispensaryКраевое ГБУЗ Алтайский краевой кардиологический диспансер; ФГБОУ ВО Алтайский государственный медицинский университет Минздрава РоссииAltai Regional Cardiological Dispensary; Altai State Medical University20201311202019526612661Copyright © Сердечная А.Ю., Сукманова И.А., 20202020Сердечная А.Ю., Сукманова И.А.Serdechnaya A.Y., Sukmanova I.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://cardiovascular.elpub.ru/jour/article/view/2661

Кардиогенный шок (КШ) — это наиболее тяжелое осложнение инфаркта миокарда, проявляющееся острым нарушением перфузии тканей организма в результате ишемического повреждения миокарда со снижением его сократительной функции. КШ занимает лидирующее место в структуре смертности у пациентов с инфарктом миокарда, несмотря на все достижения в медицине. В настоящем обзоре представлена современная классификация КШ и шкала оценки риска, рассмотрены основные аспекты эпидемиологии, патофизиологии, обсуждаются вопросы диагностики и принципы терапевтических подходов к лечению КШ.

Cardiogenic shock (CS) is the most severe complication of myocardial infarction, manifested by an acute tissue hypoperfusion as a result of impaired contractile function of the heart. CS occupies a leading place in the patterns of mortality in patients with myocardial infarction, despite all the advances in medicine. This review presents a modern classification of CS and a risk assessment score, considers the main aspects of epidemiology and pathophysiology of CS, discusses issues of its diagnosis and treatment.

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The authors declare that there are no conflicts of interest present.