Читать книгу Interventional Cardiology - Группа авторов - Страница 350

In conclusion, the incidence of cardiogenic shock is declining, but its clinical impact remains as significant as ever. Vasopressors and inotropes can be used to improve blood pressure and cardiac output, but they cause an increase in systemic vascular resistance and an increase in pulmonary capillary wedge pressure and increase cardiac work and cardiac oxygen consumption. Therefore, the use of left‐ventricular assist devices is a promising treatment modality that is currently being investigated in larger randomized controlled trials. From clinical investigation point of view, randomized trials have been small‐sized and scarce in this subject due to the very critical presenting condition, and related enormous difficulties in appropriate screening, risk‐stratifying and consenting.