ALBERT J. MILLER, M.D., F.A.C.P.; BENJAMIN M. KAPLAN, M.D.
Primary failure of the heart to maintain an adequate output, as may be seen after acute myocardial infarction, can result in the clinical syndrome of "cardiogenic shock." Though cardiogenic shock differs from hypovolemic and the other types of shock, it may be clinically indistinguishable from them. Irrespective of initiating mechanisms, the presenting symptoms and signs of shock are mainly due to a decrease in circulating blood volume and bodily peripheral compensatory reactions. Appropriate therapy requires an appreciation of the initiating factors, the stage of progression of the shock, and the factors operating to maintain the state of shock.
MILLER AJ, KAPLAN BM. The Therapy of Cardiogenic Shock. Ann Intern Med. 1963;58:901–902. doi: 10.7326/0003-4819-58-5-901
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Published: Ann Intern Med. 1963;58(5):901-902.
Acute Coronary Syndromes, Cardiology.
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