CARDIOGENIC SHOCK: The First Six Hours is a comprehensive 446-page practical guide to one of cardiovascular medicine’s most demanding emergencies.
The first few hours of cardiogenic shock determine the trajectory of organ perfusion, myocardial recovery and survival. This book provides a structured approach to recognising shock early, defining its cause and haemodynamic phenotype, restoring coronary and systemic perfusion, and selecting the appropriate level of circulatory support.
Readers are guided through rapid clinical assessment, ECG and echocardiographic evaluation, invasive haemodynamics, laboratory and perfusion markers, vasoactive medications, ventilation, fluid management, culprit-vessel revascularisation and the prevention of multiorgan failure. Dedicated discussions address acute myocardial infarction, mechanical complications, right-ventricular failure, myocarditis, post-cardiotomy shock and other important causes.
The book also examines intra-aortic balloon counterpulsation, Impella devices, TandemHeart, VA-ECMO and ventricular unloading. It explains device selection, timing, cannulation strategy, haemodynamic monitoring, escalation, de-escalation and the recognition of bleeding, vascular, thrombotic and neurological complications.
Practical algorithms, decision pathways, checklists and bedside principles help transform complex evidence into timely clinical action.
Key features:
- 446 pages of focused clinical and procedural guidance
- A structured first-six-hours management pathway
- Shock classification and haemodynamic phenotyping
- Early echocardiographic and invasive assessment
- Revascularisation strategies in infarct-related shock
- Rational selection of vasopressors and inotropes
- Mechanical circulatory-support selection and escalation
- VA-ECMO physiology and left-ventricular unloading
- Management of right-ventricular and biventricular failure
- Prevention and treatment of device-related complications
- Practical algorithms, checklists and multidisciplinary workflows
Designed for interventional cardiologists, general cardiologists, intensivists, emergency physicians, anaesthesiologists, fellows, residents, nurses and perfusion teams, CARDIOGENIC SHOCK: The First Six Hours is an essential reference for making faster, safer and more physiologically informed decisions when delay can be fatal.
Author: Dr A M A M Thirugnanam
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