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Cardiogenic Shock 

Cardiogenic Shock
Chapter:
Cardiogenic Shock
Author(s):

Martin Chen

, and Muoi Trinh

DOI:
10.1093/med/9780190226459.003.0010
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date: 22 February 2020

Heart failure and cardiogenic shock are important causes of perioperative morbidity and mortality that require prompt recognition prior to the institution of specialized monitoring and treatment, including the consideration of circulatory assist devices. Patients at risk for perioperative heart failure require special consideration with respect to preoperative evaluation, medical optimization prior to proceeding with surgery, and monitoring throughout the perioperative period. The intraoperative and postoperative management need to be carefully planned in order to avoid the development of acute decompensated heart failure and cardiogenic shock. This chapter reviews the perioperative assessment and management of heart failure patients as well as the management of perioperative cardiogenic shock.

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