臨床外科78巻7号

2023年07月発行

特集 術後急変！—予知・早期発見のベストプラクティス 各論1：各種ショックが起こってしまったときの初療

心原性ショック

著者： 板垣秀弥¹ 遠藤智之¹

所属機関： ¹東北医科薬科大学病院救急科

ページ範囲：P.806 - P.811

【ポイント】
◆心原性ショックの死亡率は現在でも非常に高いままである．
◆心原性ショックの分類を理解し，重症に移行しないように対応する．
◆心原性ショックに対する補助循環について理解を深める．

参考文献

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2）Thiele H, Akin I, Sandri M, et al：PCI Strategies in Patients with Acute Myocardial Infarction and Cardiogenic Shock. N Engl J Med 377：2419-2432, 2017

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4）Lauridsen MD, Rorth R, Lindholm MG, et al：Trends in first-time hospitalization, management, and short-term mortality in acute myocardial infarction-related cardiogenic shock from 2005 to 2017：A nationwide cohort study. Am Heart J 229：127-137, 2020

5）Tsutsui H, Isobe M, Ito H, et al：JCS 2017/JHFS 2017 Guidelines on Diagnosis and Treatment of Acute and Chronic Heart Failure. Circulation 83：2084-2184, 2019

6）Baran DA, Grines CL, Bailey S, et al：SCAI clinical expert consensus statement on the classification of cardiogenic shock：This document was endorsed by the American College of Cardiology（ACC）, the American Heart Association（AHA）, the Society of Critical Care Medicine（SCCM）, and the Society of Thoracic Surgeons（STS）in April 2019. Catheter Cardiovasc Interv 94：29-37, 2019

7）Wang CS, FitzGerald JM, Schulzer M, et al：Does this dyspneic patient in the emergency department have congestive heart failure? JAMA 294：1944-1956, 2005

8）Chun AA, McGee SR：Bedside diagnosis of coronary artery disease：a systematic review. Am J Med 117：334-343, 2004

9）Menon V, Slater JN, White HD, et al：Acute myocardial infarction complicated by systemic hypoperfusion without hypotension：report of the SHOCK trial registry. Am J Med 108：374-380, 2000

10）Tintinalli JE：Tintinalli's Emergency Medicine：A Comprehensive Study Guide, 9th edition. 2019.

11）Sabia P, Afrookteh A, Touchstone DA, et al：Value of regional wall motion abnormality in the emergency room diagnosis of acute myocardial infarction. A prospective study using two-dimensional echocardiography. Circulation 84：I85-92, 1991

12）Tarvasmaki T, Lassus J, Varpula M, et al：Current real-life use of vasopressors and inotropes in cardiogenic shock - adrenaline use is associated with excess organ injury and mortality. Crit Care 20：208, 2016

13）Tehrani BN, Truesdell AG, Sherwood MW, et al：Standardized Team-Based Care for Cardiogenic Shock. J Am Coll Cardiol 73：1659-1669, 2019