In order to bring you the best possible user experience, this site uses Javascript. If you are seeing this message, it is likely that the Javascript option in your browser is disabled. For optimal viewing of this site, please ensure that Javascript is enabled for your browser.
Did you know that your browser is out of date? To get the best experience using our website we recommend that you upgrade to a newer version. Learn more.

Cardiogenic shock after acute myocardial infarction – How to treat?

Experts' Introduction

Cardiogenic shock is of high interest as it is the leading cause of in-hospital mortality in patients with acute myocardial infarction. Mortality is still approaching 50%.

Thus, cardiogenic shock represents a major health problem.

Evidence for the treatment of cardiogenic shock is still limited and the only proven therapeutic measure is early reperfusion as shown in the SHOCK-trial in 1999.

Recently, the CULPRIT-SHOCK trial could show that PCI of the infarct-related artery only with possible staged revascularisation is better than immediate multivessel PCI.

However, mortality seems to be unchanged to the SHOCK trial. Mechanical circulatory support is now in the main focus.

But, only limited data are available and the patient selection seems to be crucial.


thiele-holger-2018-congress-news.jpgProf. Holger Thiele

Interventional cardiologist and intensivist, Leipzig, Germany



Hannah Schaubroeck Belgium.JPGResources have been selected by Dr. Hannah Schaubroeck 

Young ACVC Member

ICCU, Ghent University Hospital, Belgium


E-learning Course

escel-acca.jpgTopic 31:  Mechanical circulatory support




Acute Cardiovascular Care Congress Resources

ESC 365 visualA selection of resources from Acute Cardiovascular Care 2019:

ACVC Essential 4 You:

Clinical Decision-Making Toolkit


A chapter on acute heart failure

Cardiogenic shock (wet-and-cold) - P. Vranckx, U. Zeymer

Access the toolkit



Scientific Papers

ACVC Scientific Posters

  • Percutaneous Mechanical Circulatory Support (pMCS)
  • Cardiogenic and septic shock