Estratificación clínica del enfermo con estado de choque cardiogénico, el valor agregado del poder cardíaco y del índice de las resistencias periféricas / Clinical stratification of cardiogenic shock

Cardiogenic shock (CHC) associated to acute myocardial infarct has high mortality and their manifestations are heterogenous. In our institution historical mortality, was 98%, but with different methods of reperfusion, its reduced to 53%. In other hand, with opportune clinical stratification is useful to improve the treatment strategy. This stratification on basis in clinical signs: age, infarction location, cardiac frequency and systemic arterial pressure, and hemodynamical valuation with the use of right catheterism with quantification miocardial work parameters like [quot ]Cardiac power[quot ] that is the product of flow and arterial pressure and that is of utility to know the [quot ]Miocardial reserve[quot ]. In our experience after reperfusion procedure patients with CHC and cardiac power less than 1.0 had highly mortality.