The five key “ingredients” for improving outcomes in cardiogenic shock complicating acute myocardial infarction

Key Points

• Cardiogenic shock in the setting of acute myocardial infarction (AMICS) carries high mortality.
• A systematic, protocol-driven, approach to AMICS may improve outcomes.
• The 5 key “ingredients” for the managements of AMICS are: (a) early diagnosis; (b) hemodynamic assessment; (c) culprit-only coronary revascularization; (d) judicious use of mechanic circulatory support; (e) expert in-hospital treatment.

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