Chronic Shock after Myocardial Infarction, Its Mechanisms and Management

Case Studies1 February 1963Chronic Shock after Myocardial Infarction, Its Mechanisms and ManagementJOHN H. GUSS, M.D., F.A.C.P.JOHN H. GUSS, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-58-2-333 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe alleviation of shock in myocardial infarction is often the most important therapeutic aim, and may be the most important factor in determining the outcome. It probably occurs in about one-fourth of all cases of myocardial infarction but usually does not persist beyond 3 or 4 days. In a recent review of 2,955 cases (1) there was an incidence of shock in 23 per cent, and a mortality rate of 59 per cent for those in shock. The problem of shock did not persist beyond 72 to 96 hours in most of these patients. By then the patient was either...References1. BINDERRYANMARCUSMUGLERSTRANGEAGRESS MJJASFDCM: Evolution of therapy in shock following acute myocardial infarction. Amer. J. Med. 18: 622, 1954. CrossrefGoogle Scholar2. AGRESSGLASSNERBINDERFIELDS CMHFMJJ: Hemodynamic measurements in experimental coronary shock. J. Appl. Physiol. 10: 469, 1957. CrossrefMedlineGoogle Scholar3. SMITHWINKLERFOX WWNSAC: Hemodynamic studies in patients with acute myocardial infarction. Circulation 9: 352, 1954. CrossrefMedlineGoogle Scholar4. GILBERTGOLDBERGGRIFFEN RPMJ: Circulatory changes in acute myocardial infarction. Circulation 9: 847, 1954. CrossrefMedlineGoogle Scholar5. BROCHHUMERFELTHAARSTEDMYHRE OJSJJR: Hemodynamic studies in acute myocardial infarction. Amer. Heart J. 57: 522, 1959. CrossrefMedlineGoogle Scholar6. FRIESSCHNAPPERJOHNSONSCHREINER BDHWRLGE: Hemodynamic alterations in acute myocardial infarction. I. Cardiac output, arterial pressure, total peripheral resistance, central and total blood volumes, venous pressure and average circulation times. J. Clin. Invest. 31: 131, 1952. CrossrefMedlineGoogle Scholar7. GROSSMENDLOWITZSCHAUER LMG: Hemodynamic studies in experimental coronary occlusion. I. Open chest experiments. Amer. Heart J. 13: 647, 1937. CrossrefGoogle Scholar8. MENDLOWITZSCHAUERGROSS MGL: Hemodynamic studies in experimental coronary occlusion. II. Open chest experiments. Ibid 13: 664, 1937. Google Scholar9. STEADEBERT EARV: Shock syndrome produced by failure of the heart. Arch. Intern. Med. 69: 369, 1942. CrossrefGoogle Scholar10. AGRESSROSENBERGSCHNEIDERMANBROTMAN CMMAEJ: Blood volume studies in shock resulting from myocardial infarction. I. Studies with Evans blue dye (T1824) J. Clin. Invest. 29: 1267, 1957. CrossrefGoogle Scholar11. GRIFFITHWALLACECOCHRANNERLICHFROSHER GCWBBWEWG: Treatment of shock associated with myocardial infarction. Circulation 9: 527, 1954. CrossrefMedlineGoogle Scholar12. EPSTEINRELMAN FHAS: Transfusion treatment of shock in myocardial infarction. New Engl. J. Med. 241: 889, 1949. CrossrefMedlineGoogle Scholar13. SELZER A: The hypotensive state following myocardial infarction. Amer. Heart J. 44: 1, 1952. CrossrefMedlineGoogle Scholar14. FRIEDBERG CK: Cardiogenic shock in acute myocardial infarction. Circulation 23: 325, 1961. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Staunton, VirginiaFrom the Department of Internal Medicine, King's Daughters' Hospital, Staunton, Virginia.Requests for reprints should be addressed to John H. Guss, M.D., 25 North Central Avenue, Staunton, Virginia. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byTetracyclines and Periodontal TherapyPower failure in acute myocardial infarctionThe Hemodynamic Effects of Myocardial Infarction and Results of TherapyHemodynamic measurements in a coronary care unitCardiogenic Aspects of Shock and ComaComputerized servomechanism for increasing coronary flowMyocardial infarction shock revisitedHeart failure in myocardial infarctionThe treatment of shock complicating acute myocardial infarctionThe Physiologic Basis for Treatment of Shock Associated with Myocardial InfarctionEffect of vasopressor drugs on circulatory dynamics in shock following myocardial infarctionTreatment of cardiogenic shock and vasopressor dependency with intravenous methylphenidate (Ritalin)Successful Therapy of Prolonged Hypotension with an Adrenergic Beta-Receptor Blocking Agent 1 February 1963Volume 58, Issue 2Page: 333-336KeywordsDeath ratesHospital medicineHypotensionMyocardial infarctionShock Issue Published: 1 February 1963 PDF downloadLoading ...