kpcczКомплексные проблемы сердечно-сосудистых заболеванийComplex Issues of Cardiovascular Diseases2306-12782587-9537Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”10.17802/2306-1278-2019-8-4-127-137kpccz-637Research ArticleАНАЛИТИЧЕСКИЙ ОБЗОР. Анестезиология и реаниматологияREVIEWS. Anaesthesiology and intensive careКардиогенный шок: обновлениеCardiogenic shock: an updatehttps://orcid.org/0000-0001-8370-3083ГригорьевЕ. В.GrigorievE. V.

Григорьев Евгений Валерьевич - доктор медицинских наук, профессор РАН, заместитель директора по научной и лечебной работе НИИКПССЗ; заведующий кафедрой анестезиологии, реаниматологии, травматологии и ортопедии КГМУ.

Сосновый бульвар 6, Кемерово, 650002; ул. Ворошилова, 22а, Кемерово, 650029

Grigoriev Evgeny V. - PhD, Professor of the Russian Academy of Sciences, Deputy Director for Scientific and Medical Issues RICICD; Chairman of the Department of Anesthesiology, Intensive Care, Traumatology and Orthopedics KSMU.

6, Sosnoviy Blvd, Kemerovo, 650002; 22a, Voroshilova St., Kemerovo, 650029

grigev@kemcardio.ruhttps://orcid.org/0000-0001-5708-2463ШукевичД. Л.ShukevichD. L.

Шукевич Дмитрий Леонидович - доктор медицинских наук, заведующий лабораторией критических состояний НИИКПССЗ, профессор кафедры анестезиологии, реаниматологии, травматологии и ортопедии КГМУ.

Сосновый бульвар 6, Кемерово, 650002; ул. Ворошилова, 22а, Кемерово, 650029

Shukevich Dmitry L. - PhD, Head of the Laboratory of Critical Conditions RICICD; Professor at the Department of Anesthesiology, Intensive Care, Traumatology and Orthopedics KSMU.

6, Sosnoviy Blvd, Kemerovo, 650002; 22a, Voroshilova St., Kemerovo, 650029

https://orcid.org/0000-0002-2654-2727КорнелюкР. А.KornelyukR. A.

Корнелюк Роман Александрович - лаборант-исследователь лаборатории критических состояний.

Сосновый бульвар 6, Кемерово, 650002

Kornelyuk Roman A. - laboratory assistant at the Laboratory of Critical Conditions.

6, Sosnoviy Blvd, Kemerovo, 650002

https://orcid.org/0000-0002-9704-7678ГанюковВ. И.GanyukovV. I.

Ганюков Владимир Иванович - доктор медицинских наук, заведующий лабораторией интервенционных методов диагностики и лечения.

Сосновый бульвар 6, Кемерово, 650002

Ganyukov Vladimir I. - PhD, Head of the Laboratory of Interventional Diagnostic and Treatment Methods.

6, Sosnoviy Blvd, Kemerovo, 650002

https://orcid.org/0000-0002-1534-264XКочергинН. А.KocherginN. A.

Кочергин Никита Александрович - кандидат медицинских наук, научный сотрудник лаборатории интервенционных методов диагностики и лечения.

Сосновый бульвар 6, Кемерово, 650002

Kochergin Nikita A. - PhD, researcher at the Laboratory for Interventional Diagnostic and Treatment Methods.

6, Sosnoviy Blvd, Kemerovo, 650002

Федеральное государственное бюджетное научное учреждение Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний; Федеральное государственное бюджетное образовательное учреждение высшего образования «Кемеровский государственный медицинский университет» Министерства здравоохраненияРоссияFederal State Budgetary Institution Research Institute for Complex Issues of Cardiovascular Diseases; Federal State Budgetary Educational Institution of Higher Education “Kemerovo State Medical University” of the Ministry of Healthcare of the Russian FederationRussian FederationФедеральное государственное бюджетное научное учреждение Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеванийРоссияFederal State Budgetary Institution Research Institute for Complex Issues of Cardiovascular DiseasesRussian Federation20192512201984127137Copyright © Григорьев Е.В., Шукевич Д.Л., Корнелюк Р.А., Ганюков В.И., Кочергин Н.А., 20192019Григорьев Е.В., Шукевич Д.Л., Корнелюк Р.А., Ганюков В.И., Кочергин Н.А.Grigoriev E.V., Shukevich D.L., Kornelyuk R.A., Ganyukov V.I., Kochergin N.A.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.nii-kpssz.com/jour/article/view/637

Кардиогенный шок - критическое состояние, характеризующееся молниеносным развитием полиорганной недостаточности в условиях отсутствия интенсивной терапии. В статье описаны современные представления о направлениях патофизиологии, современные подходы к интенсивной терапии, рассматривается концепция «фазности» терапии, а также рассматриваются способы механической поддержки кровообращения и предлагается рабочий алгоритм выбора оптимального метода.

Cardiogenic shock is a critical condition characterized by rapid development of multiple organ dysfunction in the absence of intensive care. The article describes Abstract    modern concepts about pathophysiology and approaches to treat intensive care. The concept of phased therapy as well as methods of mechanical circulatory support are discussed. The working algorithm for choosing the optimal method was proposed.

кардиогенный шокострая сердечная недостаточностьполиорганная недостаточностьcardiogenic shockacute heart failuremultiple organ dysfunctionReferencesHochman J.S., Sleeper L.A., Webb J.G., Sanborn T.A., SHOCK Investigators. Should We Emergently Revascularize White H.D., Talley J.D. et al. Early revascularization in acute Occluded Coronaries for cardiogenic shock. N Engl J Med myocardial infarction complicated by cardiogenic shock. 1999; 341:625-34. doi: 10.1056/NEJM199908263410901Hochman J.S., Sleeper L.A., Webb J.G., Sanborn T.A., White H.D., Talley J.D. et al. Early revascularization in acute myocardial infarction complicated by cardiogenic shock. SHOCK Investigators. Should We Emergently Revascularize Occluded Coronaries for cardiogenic shock. N Engl J Med 1999; 341:625-34. doi: 10.1056/NEJM199908263410901Thiele H., Zeymer U., Neumann F.-J., e Ferenc M., Olbrich H.G., Hausleiter J.,e t al. Intraaortic balloon support for myocardial infarction with cardiogenic shock. N Engl J Med 2012; 367:1287-96. doi: 10.1056/NEJMoa1208410.Thiele H., Zeymer U., Neumann F.-J., e Ferenc M., Olbrich H.G., Hausleiter J.,e t al. Intraaortic balloon support for myocardial infarction with cardiogenic shock. N Engl J Med 2012; 367:1287-96. doi: 10.1056/NEJMoa1208410.Ponikowski P., Voors A.A., Anker S.D., Bueno H., Cleland J.G.F., Coats A.J.S. et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J 2016; 37:2129-22. doi: 10.1093/eurheartj/ehw128.Ponikowski P., Voors A.A., Anker S.D., Bueno H., Cleland J.G.F., Coats A.J.S. et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J 2016; 37:2129-22. doi: 10.1093/eurheartj/ehw128.Baran D.A., Grines C.L., Bailey S., Burkhoff D., Hall S.A., Henry T.D. et al. SCAI clinical expert consensus statement on the classification of cardiogenic shock. Catheter Cardiovasc Interv. 2019; 94: 29-37. doi: 10.1002/ccd.28329.Baran D.A., Grines C.L., Bailey S., Burkhoff D., Hall S.A., Henry T.D. et al. SCAI clinical expert consensus statement on the classification of cardiogenic shock. Catheter Cardiovasc Interv. 2019; 94: 29-37. doi: 10.1002/ccd.28329.Sean van Diepen, Holger Thiele. (2019) An overview of international cardiogenic shock guidelines and application in clinical practice. Current Opinion in Critical Care. 2019; 25:4, 365-370. doi: 10.1097/MCC.0000000000000624.Sean van Diepen, Holger Thiele. (2019) An overview of international cardiogenic shock guidelines and application in clinical practice. Current Opinion in Critical Care. 2019; 25:4, 365-370. doi: 10.1097/MCC.0000000000000624.Jones T.L., Nakamura K., McCabe J.M. Cardiogenic shock: evolving definitions and future directions in management. Open Heart 2019; 6: e000960. doi: 10.1136/openhrt-2018-000960Jones T.L., Nakamura K., McCabe J.M. Cardiogenic shock: evolving definitions and future directions in management. Open Heart 2019; 6: e000960. doi: 10.1136/openhrt-2018-000960Hochman J.S. Cardiogenic shock complicating acute myocardial infarction: expanding the paradigm. Circulation. 2003; 107:2998-3002. doi:10.1161/01.CIR.0000075927.67673.F2.Hochman J.S. Cardiogenic shock complicating acute myocardial infarction: expanding the paradigm. Circulation. 2003; 107:2998-3002. doi:10.1161/01.CIR.0000075927.67673.F2.Hoste E.A., Maitland K., Brudney C.S., Mehta R., Vincent J.-L., Yates D., Kellum J.A., Mythen M.G., Shaw A.D. for the ADQI XII Investigators Group. Four phases of intravenous fluid therapy: a conceptual model. British Journal of Anaesthesia. 2014; 113 (5): 740-747 (2014). doi:10.1093/bja/aeu300Hoste E. A., Maitland K., Brudney C. S., Mehta R., Vincent J.-L., Yates D., Kellum J.A., Mythen M.G., Shaw A.D. for the ADQI XII Investigators Group. Four phases of intravenous fluid therapy: a conceptual model. British Journal of Anaesthesia. 2014; 113 (5): 740-747 (2014). doi:10.1093/bja/aeu300Hajjar L.A., Teboul J.-L.. Mechanical Circulatory Support Devices for Cardiogenic Shock: State of the Art. Critical Care (2019) 23:76. doi: 10.1186/s13054-019-2368-y.Hajjar L.A., Teboul J.-L.. Mechanical Circulatory Support Devices for Cardiogenic Shock: State of the Art. Critical Care (2019) 23:76. doi: 10.1186/s13054-019-2368-y.Price S., Platz E., Cullen L., Tavazzi G., Christ M., Cowie M.R. et al. Expert consensus document: echocardiography and lung ultrasonography for the assessment and management of acute heart failure. Nat Rev Cardiol. 2017; 14:427-40. doi: 10.1038/nrcardio.2017.56.Price S., Platz E., Cullen L., Tavazzi G., Christ M., Cowie M.R. et al. Expert consensus document: echocardiography and lung ultrasonography for the assessment and management of acute heart failure. Nat Rev Cardiol. 2017; 14:427-40. doi: 10.1038/nrcardio.2017.56.Jozwiak M., Monnet X., Teboul J.L. Less or more hemodynamic monitoring in critically ill patients. Curr Opin Crit Care. 2018; 24:309-15. doi: 10.1097/MCC.0000000000000516.Jozwiak M., Monnet X., Teboul J.L. Less or more hemodynamic monitoring in critically ill patients. Curr Opin Crit Care. 2018; 24:309-15. doi: 10.1097/MCC.0000000000000516.McLean A.S. Echocardiography in shock management. Critical Care201620:275. doi:10.1186/s13054-016-1401-7McLean A.S. Echocardiography in shock management. Critical Care201620:275. doi:10.1186/s13054-016-1401-7Toscani L., Aya H.D., Antonakaki D., Bastoni D., Watson X., Arulkumaran N., Rhodes A., Cecconi M. What is the impact of the fluid challenge technique on diagnosis of fluid responsiveness? A systematic review and meta-analysis. Crit Care. 2017; 21:207. doi: 10.1186/s13054-017-1796-9Toscani L., Aya H.D., Antonakaki D., Bastoni D., Watson X., Arulkumaran N., Rhodes A., Cecconi M. What is the impact of the fluid challenge technique on diagnosis of fluid responsiveness? A systematic review and meta-analysis. Crit Care. 2017; 21:207. doi: 10.1186/s13054-017-1796-9Levy B., Perez P., Perny J., Thivilier C., Gerard A. Comparison of norepinephrine-dobutamine to epinephrine for hemodynamics, lactate metabolism, and organ function variables in cardiogenic shock. A prospective, randomized pilot study. Crit Care Med. 2011;450-455(48):39. doi: 10.1097/CCM.0b013e3181ffe0eb.Levy B., Perez P., Perny J., Thivilier C., Gerard A. Comparison of norepinephrine-dobutamine to epinephrine for hemodynamics, lactate metabolism, and organ function variables in cardiogenic shock. A prospective, randomized pilot study. Crit Care Med. 2011 ;450-455(48):39. doi: 10.1097/CCM.0b013e3181ffe0eb.Tarvasmaki T., Lassus J., Varpula M., Sionis A., Sund R. , K0ber L. 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. 2016; 20:208. doi: 10.1186/s13054-016-1387-1.Tarvasmaki T., Lassus J., Varpula M., Sionis A., Sund R. , K0ber L. 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. 2016; 20:208. doi: 10.1186/s13054-016-13 87-1.Leopold V, Gayat E., Pirracchio R., Spinar J., Parenica J. , Tarvasmaki T. et al. Epinephrine and short-term survival in cardiogenic shock: an individual data meta-analysis of 2583 patients. Intensive Care Med. 2018; 44:847-56. doi: 10.1007/s00134-018-5222-9.Leopold V., Gayat E., Pirracchio R., Spinar J., Parenica J. , Tarvasmaki T. et al. Epinephrine and short-term survival in cardiogenic shock: an individual data meta-analysis of 2583 patients. Intensive Care Med. 2018; 44:847-56. doi: 10.1007/s00134-018-5222-9.Herpain A., Bouchez S., Girardis M., Guarracino F., Knotzer J., Levy B., Liebregts T., Pollesello P, Ricksten S. E., Riha H., Rudiger A., Sangalli F. Use of Levosimendan in Intensive Care Unit Settings. An Opinion Paper. Journal of Cardiovascular Pharmacology. 2019; 73(1): 3-14. doi: 10.1097/FJC.0000000000000636Herpain A., Bouchez S., Girardis M., Guarracino F. , Knotzer J., Levy B., Liebregts T., Pollesello P., Ricksten S. E., Riha H., Rudiger A., Sangalli F. Use of Levosimendan in Intensive Care Unit Settings. An Opinion Paper. Journal of Cardiovascular Pharmacology. 2019; 73(1): 3-14. doi: 10.1097/FJC.0000000000000636Vallabhajosyula S., Dunlay S.M., Prasad A., Kashani K. , Sakhuja A., Gersh B.J., Jaffe A.S., Holmes D.R., Barsness G.W. Acute Noncardiac Organ Failure in Acute Myocardial Infarction With Cardiogenic Shock. Journal of the American College of Cardiology Apr 2019, 73 (14) 1781-1791; doi: 10.1016/j.jacc.2019.01.053Vallabhajosyula S., Dunlay S.M., Prasad A., Kashani K. , Sakhuja A., Gersh B.J., Jaffe A.S., Holmes D.R., Barsness G. W. Acute Noncardiac Organ Failure in Acute Myocardial Infarction With Cardiogenic Shock. Journal of the American College of Cardiology Apr 2019, 73 (14) 1781-1791; doi: 10.1016/j.jacc.2019.01.053Goldberg R.J., Makam R.C., Yarzebski J., McManus D.D., Lessard D., Gore J.M. Decade-long trends (2001-2011) in the incidence and hospital death rates associated with the in-hospital development of cardiogenic shock after acute myocardial infarction. Circ Cardiovasc Qual Outcomes. 2016; 9:117-125. doi: 10.1161/CIRCOUTCOMES.115.002359.Goldberg R.J., Makam R.C., Yarzebski J., McManus D.D., Lessard D., Gore J.M. Decade-long trends (2001-2011) in the incidence and hospital death rates associated with the inhospital development of cardiogenic shock after acute myocardial infarction. Circ Cardiovasc Qual Outcomes. 2016; 9:117-125. doi:10.1161/CIRCOUTCOMES.n5.002359.Hochman J.S., Sleeper L.A., Webb J.G., Dzavik .V, Buller C.E., Aylward P., Col J., White H.D.; SHOCK Investigators. Early revascularization and long term survival in cardiogenic shock complicating acute myocardial infarction. JAMA 2006; 295:2511-5. doi: 10.1001/jama.295.21.2511Hochman J.S., Sleeper L.A., Webb J.G., Dzavik .V, Buller C.E., Aylward P., Col J., White H.D.; SHOCK Investigators. Early revascularization and long term survival in cardiogenic shock complicating acute myocardial infarction. JAMA 2006; 295:2511-5. doi: 10.1001/jama.295.21.2511O’Gara PT., Kushner F.G., Ascheim D.D., Casey D.E. Jr, Chung M.K., de Lemos J. et al. 2013 ACCF/AHA guideline for the management of ST elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation 2013; 127: e362-425. doi: 10.1161/CIR.0b013e3182742cf6.O’Gara P.T., Kushner F.G., Ascheim D.D., Casey D.E. Jr, Chung M.K., de Lemos J. et al. 2013 ACCF/AHA guideline for the management of ST elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation 2013; 127: e362-425. doi: 10.1161/CIR.0b013e3182742cf6.Pancholy S.B., Palamaner Subash Shantha G., Romagnoli E., Kedev S., Bernat I., Rao S.V., Jolly S., Bertrand O.F., Patel T.M. Impact of access site choice on outcomes of patients with cardiogenic shock undergoing percutaneous coronary intervention: a systematic review and meta-analysis. Am Heart J. 2015; 170:353-361. doi: 10.1016/j.ahj.2015.05.001Pancholy S.B., Palamaner Subash Shantha G., Romagnoli E., Kedev S., Bernat I., Rao S.V., Jolly S., Bertrand O.F., Patel T.M. Impact of access site choice on outcomes of patients with cardiogenic shock undergoing percutaneous coronary intervention: a systematic review and meta-analysis. Am Heart J. 2015; 170:353-361. doi: 10.1016/j.ahj.2015.05.001Seto A.H., Roberts J.S., Abu-Fadel M.S., Czak S.J., Latif F., Jain S.P., Raza J.A., Mangla A., Panagopoulos G., Patel P.M., Kern M.J., Lasic Z. Real-time ultrasound guidance facilitates transradial access: RAUST (Radial Artery access with Ultrasound Trial). JACC Cardiovasc Interv. 2015; 8:283291. doi: 10.1016/j.jcin.2014.05.036Seto A.H., Roberts J.S., Abu-Fadel M.S., Czak S.J., Latif F., Jain S.P., Raza J.A., Mangla A., Panagopoulos G., Patel P.M., Kern M.J., Lasic Z. Real-time ultrasound guidance facilitates transradial access: RAUST (Radial Artery access with Ultrasound Trial). JACC Cardiovasc Interv. 2015; 8:283291. doi: 10.1016/j.jcin.2014.05.036Levine G.N., Bates E.R., Blankenship J.C., Bailey S.R., Bittl J.A., Cercek B., et al. 2015 ACC/AHA/SCAI focused update on primary percutaneous coronary intervention for patients with ST-elevation myocardial infarction: an update of the 2011 ACCF/ AHA/SCAI guideline for percutaneous coronary intervention and the 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. Circulation. 2016; 133:11351147. doi: 10.1161/CIR.0000000000000336Levine G.N., Bates E.R., Blankenship J.C., Bailey S.R., Bittl J.A., Cercek B., et al. 2015 ACC/AHA/SCAI focused update on primary percutaneous coronary intervention for patients with ST-elevation myocardial infarction: an update of the 2011 ACCF/ AHA/SCAI guideline for percutaneous coronary intervention and the 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. Circulation. 2016; 133:11351147. doi: 10.1161/CIR.0000000000000336Ledwoch J., Fuernau G., Desch S., Eitel I., Jung C., de Waha S., Poss J., Schneider S., Schuler G., Werdan K., Zeymer U., Theile H.T. Drug-eluting stents versus bare-metal stents in acute myocardial infarction with cardiogenic shock. Heart. 2017 Aug;103(15):1177-1184. doi: 10.1136/heartjnl-2016-310403Ledwoch J., Fuernau G., Desch S., Eitel I., Jung C., de Waha S., Poss J., Schneider S., Schuler G., Werdan K., Zeymer U., Theile H.T. Drug-eluting stents versus bare-metal stents in acute myocardial infarction with cardiogenic shock. Heart. 2017 Aug;103(15):1177-1184. doi: 10.1136/heartjnl-2016-310403Park J.S., Cha K.S., Lee D.S., Shin D., Lee H.W., Oh J. H., Kim J.S., Choi J.H., Park Y.H., Lee H.C., Kim J.H., Chun K. J., Hong T.J., Jeong M.H., Ahn Y, Chae S.C., Kim Y.J.; Korean Acute Myocardial Infarction Registry Investigators. Culprit or multivessel revascularization in ST-elevation myocardial infarction with cardiogenic shock. Heart. 2015; 101:1225-1232. doi: 10.1136/heartjnl-2014-307220Park J.S., Cha K.S., Lee D.S., Shin D., Lee H.W., Oh J. H., Kim J.S., Choi J.H., Park Y.H., Lee H.C., Kim J.H., Chun K. J., Hong T.J., Jeong M.H., Ahn Y., Chae S.C., Kim Y.J.; Korean Acute Myocardial Infarction Registry Investigators. Culprit or multivessel revascularization in ST-elevation myocardial infarction with cardiogenic shock. Heart. 2015; 101:1225-1232. doi: 10.1136/heartjnl-2014-307220Task Force on the Management of ST-Segment Elevation Acute Myocardial Infarction of the European Society of Cardiology (ESC), Steg P.G., James S.K., Atar D., Badano L. P., Blomstrom-Lundqvist C., Borger M.A., Di Mario C., Dickstein K., Ducrocq G., Fernandez-Aviles F., Gershlick A.H., Giannuzzi P., Halvorsen S., Huber K., Juni P., Kastrati A., Knuuti J., Lenzen M.J., Mahaffey K.W., Valgimigli M., Widimsky P., Zahger D.. ESC guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Eur Heart J. 2012; 33:2569-619Task Force on the Management of ST-Segment Elevation Acute Myocardial Infarction of the European Society of Cardiology (ESC), Steg P.G., James S.K., Atar D., Badano L. P., Blomstrom-Lundqvist C., Borger M.A., Di Mario C., Dickstein K., Ducrocq G., Fernandez-Aviles F., Gershlick A.H., Giannuzzi P., Halvorsen S., Huber K., Juni P., Kastrati A., Knuuti J., Lenzen M.J., Mahaffey K.W., Valgimigli M., Widimsky P., Zahger D.. ESC guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Eur Heart J. 2012; 33:2569-619Holger Thiele, Ibrahim Akin, Marcus Sandri, Suzanne de Waha-Thiele, Roza Meyer-Saraei, Georg Fuernau, Ingo Eitel, Peter Nordbeck, Tobias Geisler, Ulf Landmesser, Carsten Skurk, Andreas Fach, et al., CULPRIT-SHOCK Investigators. One-Year Outcomes after PCI Strategies in Cardiogenic Shock. N Engl J Med 2018; 379:1699-1710 doi: 10.1056/NEJMoa1808788Holger Thiele, Ibrahim Akin, Marcus Sandri, Suzanne de Waha-Thiele, Roza Meyer-Saraei, Georg Fuernau, Ingo Eitel, Peter Nordbeck, Tobias Geisler, Ulf Landmesser, Carsten Skurk, Andreas Fach, et al., CULPRIT-SHOCK Investigators. One-Year Outcomes after PCI Strategies in Cardiogenic Shock. N Engl J Med 2018; 379:1699-1710 doi: 10.1056/NEJMoa1808788Mehta R.H., Lopes R.D., Ballotta A., Frigiola A., Sketch M.H. Jr, Bossone E., Bates E.R. Percutaneous coronary intervention or coronary artery bypass surgery for cardiogenic shock and multivessel coronary artery disease? Am Heart J 2010; 159:141-7; doi: 10.1016/j.ahj.2009.10.035.Mehta R.H., Lopes R.D., Ballotta A., Frigiola A., Sketch M.H. Jr, Bossone E., Bates E.R. Percutaneous coronary intervention or coronary artery bypass surgery for cardiogenic shock and multivessel coronary artery disease? Am Heart J 2010; 159:141-7; doi: 10.1016/j.ahj.2009.10.035.Aso S., Matsui H., Fushimi K., Yasunaga H. The effect of intraaortic balloon pumping under venoarterial extracorporeal membrane oxygenation on mortality of cardiogenic patients: an analysis using a nationwide inpatient database. Crit Care Med. 2016;44:1974-9. doi: 10.1097/CCM.0000000000001828Aso S., Matsui H., Fushimi K., Yasunaga H. The effect of intraaortic balloon pumping under venoarterial extracorporeal membrane oxygenation on mortality of cardiogenic patients: an analysis using a nationwide inpatient database. Crit Care Med. 2016;44:1974-9. doi: 10.1097/CCM.0000000000001828Бугаенко Д.В., Фоминых М.В., Еременко А. А. Современные устройства поддержки левого желудочка, устанавливаемые посредством чрескожного доступа. Кардиология и сердечно-сосудистая хирургия. 2018;11 (3):35-40. https://doi.org/10.17116/kardio201811335Bugaenko D.V., Fominyh M.V, Eremenko A.A. Sovremennye ustrojstva podderzhki levogo zheludochka, ustanavlivaemye posredstvom chreskozhnogo dostupa. Kardiologiya i serdechno-sosudistaya hirurgiya. 2018; 11 (3): 3 5 -40. ( In Russian)Kar B., Gregoric I.D., Basra S.S., Idelchik G.M., Loyalka P. The percutaneous ventricular assist device in severe refractory cardiogenic shock. J Am Coll Cardiol. 2011; 57:68896. doi: 10.1016/j.jacc.2010.08.613.Kar B., Gregoric I.D., Basra S.S., Idelchrk G.M., Loyalka P. The percutaneous ventricular assist device in severe refractory cardiogenic shock. J Am Coll Cardiol. 2011; 57:68896. doi: 10.1016/j.jacc.2010.08.613.Ouweneel D.M., Eriksen E., Sjauw K.D., van Dongen I.M., Hirsch A., Packer E.J. et al. Percutaneous mechanical circulatory support versus intra-aortic balloon pump in cardiogenic shock after acute myocardial infarction. J Am Coll Cardiol. 2017; 69:278-87. doi: 10.1016/j.jacc.2016.10.022.Ouweneel D.M., Eriksen E., Sjauw K.D., van Dongen I. M., Hirsch A., Packer E.J. et al. Percutaneous mechanical circulatory support versus intra-aortic balloon pump in cardiogenic shock after acute myocardial infarction. J Am Coll Cardiol. 2017; 69:278-87. doi: 10.1016/j.jacc.2016.10.022.Ouweneel D.M., Schotborogh J.V, Limpens J., Sjauw K.D., Engstrom A.E., Lagrand W.K. et al. Extracorporeal life support during cardiac arrest and cardiogenic shock: a systematic review and metaanalysis. Intensive Care Med. 2016; 42:1922-34. doi: 10.1007/s00134-016-4536-8.Ouweneel D.M., Schotborogh J.V, Limpens J., Sjauw K.D., Engstrom A.E., Lagrand W.K. et al. Extracorporeal life support during cardiac arrest and cardiogenic shock: a systematic review and metaanalysis. Intensive Care Med. 2016; 42:1922-34. doi: 10.1007/s00134-016-4536-8.Верещагин И.Е., Ганюков В.И., Шукевич Д.Л., Корнелюк Р.А. Первичное чрескожное коронарное вмешательство у пациента с кардиогенным шоком при поддержке экстракорпоральной мембранной оксигенации. Эндоваскулярная хирургия. 2017. Т. 4. № 3. С. 225-231.Vereshchagin I.E., Ganyukov VI., Shukevich D.L., Kornelyuk R.A. Percutaneous coronary intervention in a patient with cardiogenic shock in the conditions of extracorporeal membrane oxygenation. Endovasculyarnaya Khirurgiya (Russian Journal of Endovascular Surgery). 2017; 4 (3): 22531. doi: 10.24183/2409-4080-2017-4-3-225-231 (In Russian)Rihal C.S., Naidu S.S., Givertz M.M., Szeto W.Y., Burke J.A., Kapur N.K., Kern M., Garratt K.N., Goldstein J.A., Dimas V., Tu T.; Society for Cardiovascular Angiography and Interventions (SCAI); Heart Failure Society of America (HFSA); Society of Thoracic Surgeons (STS); American Heart Association (AHA), and American College of Cardiology (ACC). 2015SCAI/ACC/HF S A/ST S Clinical Expert Consensus Statement on the Use of Percutaneous Mechanical Circulatory Support Devices in Cardiovascular Care: Endorsed by the American Heart Assocation, the Cardiological Society of India, and Sociedad Latino Americana de Cardiologia Intervencion; Affirmation of Value by the Canadian Association of Interventional Cardiology-Association Canadienne de Cardiologie d'intervention. J Am Coll Cardiol. 2015 May 19;65(19):e7-e26. doi: 10.1016/j.jacc.2015.03.036.Rihal C.S., Naidu S.S., Givertz M.M., Szeto W.Y., Burke J.A., Kapur N.K., Kern M., Garratt K.N., Goldstein J. A., Dimas V, Tu T.; Society for Cardiovascular Angiography and Interventions (SCAI); Heart Failure Society of America (HFSA); Society of Thoracic Surgeons (STS); American Heart Association (AHA), and American College of Cardiology (ACC). 2015 SCAI/ACC/HF S A/ST S Clinical Expert Consensus Statement on the Use of Percutaneous Mechanical Circulatory Support Devices in Cardiovascular Care: Endorsed by the American Heart Assocation, the Cardiological Society of India, and Sociedad Latino Americana de Cardiologia Intervencion; Affirmation of Value by the Canadian Association of Interventional Cardiology-Association Canadienne de Cardiologie d'intervention. J Am Coll Cardiol. 2015 May 19;65(19):e7-e26. doi: 10.1016/j.jacc.2015.03.036.Корнелюк Р.А., Верещагин И.Е., Шукевич Д.Л., Ганюков В.И. Механическая поддержка кровообращения при чрескожном коронарном вмешательстве высокого риска. Комплексные проблемы сердечно-сосудистых заболеваний. 2018;7(4S):54-65. https://doi.org/10.17802/2306-1278-2018-7-4S-54-65R.A. Kornelyuk, I.E. Vereshchagin, D.L. Shukevich, V.I. Ganyukov. Mechanical circulatory support in high-risk percutaneous coronary intervention. Complex Issues of Cardiovascular Diseases. 2018; 7 (4S): 54-65. DOI: 10.17802/2306-1278-2018-7-4S-54-65 (In Russian)

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