[Cardiogenic shock].

Abstract:

:Cardiogenic shock (CS) is defined as end-organ hypoperfusion as the consequence of primary myocardial dysfunction. Among the diagnostic criteria are a systolic blood pressure < 90 mmHg, acute renal failure (oligoanuria), ischemic hepatitis, cyanosis and cold, clammy skin. Accepted hemodynamic cutoffs are a cardiac index < 2,2 (l/min)/m2 and a pulmonary capillary wedge pressure > 15 mmHg. It should be acknowledged, that a normal blood pressure does not rule out CS; there is a nonhypotensive variant of CS demonstrating all the signs mentioned above (including elevated lactate levels) while the blood pressure is compensated due to vasoconstriction.The single most frequent cause of CS is pump failure in the setting of an acute myocardial infarction and its mortality rate has been lowered to 40-50%, owing to the widespread availability of primary PCI. Regarding PCI, it has been demonstrated recently that a "culprit-lesion only strategy" should be followed in the setting of CS. Other important causes of CS to take into account are mechanical complications of myocardial infarction (papillary and ventricular septal rupture as well as rupture of the myocardial free wall leading to tamponade), valvular heart disease (mostly decompensated aortic stenosis) as well as myocarditis and end stage cardiomyopathy.The diagnosis of CS is made by patient history, physical examination, ECG, echocardiography and coronary angiography. Echocardiography should always be performed before coronary angiography because, in the case of mechanical complications, it significantly alters the management of the patients. Patients with clinical signs of CS but paradoxically preserved ejection fraction must be thoroughly evaluated for the presence of a papillary muscle rupture, particularly in the setting of a lateral wall infarction.Noradrenaline and dobutamine are the first-line agents for medical stabilization. When such conventional measures fail, extracorporeal support devices such as ECMO or Impella© may be used. Currently, trials are underway to assess wheter these devices confer a survival benefit in this high-risk population.

journal_name

Wien Klin Wochenschr

authors

Zilberszac R,Heinz G

doi

10.1007/s00508-020-01612-1

subject

Has Abstract

pub_date

2020-06-01 00:00:00

pages

333-348

issue

11-12

eissn

0043-5325

issn

1613-7671

pii

10.1007/s00508-020-01612-1

journal_volume

132

pub_type

杂志文章
  • Life on biomembranes viewed with the atomic force microscope.

    abstract::Since its invention in 1986, the atomic force microscope (AFM) has become one of the most widely used near-field microscopes. Surfaces of hard samples are imaged almost routinely with atomic resolution. Soft biological surfaces, however, are still challenging. In this brief review, the AFM technique is introduced to t...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章,评审

    doi:

    authors: Oberleithner H,Geibel J,Guggino W,Henderson RM,Hunter M,Schneider SW,Schwab A,Wang W

    更新日期:1997-06-27 00:00:00

  • [Unusual course and site of metastases of a granulosa cell tumour (author's transl)].

    abstract::The case is reported of a patient in whom a granulosa cell tumour of the right ovary was removed at the age of 47 years. 14 years later the same type of tumour was found in the left ovary, together with an adenocarcinoma of the body of the uterus. 5 years after removal of these neoplasms splenectomy was carried out on...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Laczkovics A

    更新日期:1977-04-29 00:00:00

  • [Treatment of infertile couples--an interdisciplinary task (author's transl)].

    abstract::The results obtained by closest cooperation between gynaecologist and andrologist in the treatment of sterile marriages are reported. 127 couples were treated over a period of 20 months. Almost 100% of the males and 60% of the females were sub- or infertile. Treatment of both partners was meticulously coordinated in o...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Grünberger W,Schneider WH,Maier U,Stackl W,Lunglmayr G

    更新日期:1980-05-09 00:00:00

  • [Fungal infections -- always dangerous for immunosuppressed patients (author's transl)].

    abstract::Four renal transplant recipients, treated with the immunosuppressive combination of azathioprine-prednisolone, developed organ or systemic mycoses caused by Candida albicans and, in one case, additionally by Trichophyton rubrum. Ketoconazole, a new wide-spectrum antimycotic drug, was successfully used in the treatment...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Zazgornik J,Kopsa H,Schmidt P,Marosi L,Balcke P

    更新日期:1981-07-10 00:00:00

  • [Calcium channel mediated calcium release from the rabbit skeletal muscle sarcoplasmic reticulum vesicle].

    abstract::Activation and inhibition of the calcium release channel of rabbit skeletal muscle heavy sarcoplasmic reticulum (HSR) was investigated by various methods. The calcium release channel is activated by binding of calcium in the micromolar range and by binding of adenine nucleotides in the millimolar range. Ruthenium red ...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Suko J,Wyskovsky W,Hohenegger M,Plank B,Bertel O,Klein S,Hellmann G

    更新日期:1990-10-26 00:00:00

  • [Reducing cholesterol in cardiovascular rehabilitation--exercise versus drug therapy].

    abstract::Prospective epidemiological studies have proven a close link between the improvement of the lipoprotein profile and reduction of coronary heart mortality in coronary heart disease (CHD) patients. Both, regular physical activity and pharmacological intervention are capable of improving the lipoprotein profile and may i...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章,评审

    doi:

    authors: Halle M,Berg A,Keul J

    更新日期:1997-01-01 00:00:00

  • [SAPHO syndrome: case report of an 18-year-old man and review of the literature].

    abstract::We report about an 18-year-old man, suffering from acne on his face and trunk and complaining about indefinite bone pains--without any trauma. SAPHO-syndrome was diagnosed which consists of synovitis, acne, pustulosis, hyperostosis and osteitis. Five types of this syndrome can be differentiated: spondarthritis hyperos...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Wolf G,Aigner RM,Schwarz T,Lorbach MP

    更新日期:2002-05-15 00:00:00

  • The circadian rhythm of body temperature is preserved during malarial fever.

    abstract::Body temperature follows a circadian rhythm with a low around 6 a.m. and a peak about 12 hours later. The effect of fever on this endogenous oscillation is unknown. We obtained hourly measurements of the rectal temperature of 66 children with Plasmodium falciparum malaria. Even at febrile temperatures, the temperature...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Lell B,Brandts CH,Graninger W,Kremsner PG

    更新日期:2000-12-07 00:00:00

  • [Chlamydia antibody titers in patients with coronary disease: relations to age and clinical stage].

    abstract:BACKGROUND AND AIM:Atherosclerosis and its clinical sequelae are responsible for the highest death rate in industrialized countries. Seroepidemiological, pathological and immunohistochemical studies have suggested a relation between Chlamydia pneumoniae infection and the development of coronary sclerosis. Aim of this s...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: el-Rabadi K,Gottsauner-Wolf M,Christ G,Maurer G,Huber K

    更新日期:2001-10-15 00:00:00

  • [Operative treatment of prostatic adenoma (author's transl)].

    abstract::The indications for operative treatment of prostatic adenomas are outlined. The three operative techniques (suprapubic adenomectomy, resection and cryosurgery) should not be considered rival procedures, but complementary methods of therapy. The postoperative mortality dropped from 5.64% in the years 1957-1967 to 1.01%...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Haschek H

    更新日期:1978-03-17 00:00:00

  • Probability of remaining in unsustained complete remission after steroid therapy withdrawal in patients with primary warm-antibody reactive autoimmune hemolytic anemia.

    abstract:BACKGROUND:Primary warm autoimmune hemolytic anemia (WAIHA) is a rare autoimmune disorder frequently responding to corticosteroid first-line treatment and effective second-line treatment options such as splenectomy or anti-CD20 antibody therapy. Disease management is frequently hampered by a lack of evidence. METHODS:...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:10.1007/s00508-015-0863-y

    authors: Kulpa J,Skrabs C,Simanek R,Valent P,Panzer S,Lechner K,Sillaber C,Jäger U

    更新日期:2016-04-01 00:00:00

  • Prevalence of vertebral fractures in an urban population in Croatia aged fifty and older.

    abstract:AIM OF THE STUDY:To establish the prevalence of vertebral fractures according to age groups, sex and vertebral level in a sample of a Croatian urban population aged > or =50. We also tried to establish how many people had been diagnosed with osteoporosis by their family physician. PARTICIPANTS AND METHODS:Lateral thor...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s00508-004-0292-9

    authors: Grazio S,Korsić M,Jajić I

    更新日期:2005-01-01 00:00:00

  • [Experimental investigations on the effect of various doses of streptokinase on blood viscosity (author's transl)].

    abstract::The decrease in blood viscosity induced by streptokinase (SK) in the present investigation in proportional to the streptokinase concentration up to a concentration of 2000 IE/ml blood. A maximum decrease in viscosity is attained with a dosage of between 200 and 300 IE/ml blood. The decrease in viscosity is already cle...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Ambrosch F,Benda L,Redtenbacher L

    更新日期:1977-05-13 00:00:00

  • [Conformity of the crystallization in dried smears of human secretions (authors transl)].

    abstract::This paper first reviews the relatively abundant literature on crystallization phenomena in human secretions, then our experiments, aimed at artificial imitation, are discussed. Threadlike crystals appear when the inorganic share of the solution shows 530mg% NaCl and 70mg% KCl and the organic one either 34mg% hyaluron...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Michalica W,Kellner G,Klenkhart E

    更新日期:1975-10-31 00:00:00

  • Correction to: Prevalence of wheezing and atopic diseases in Austrian schoolchildren in conjunction with urban, rural or farm residence.

    abstract::Correction: Wien Klin Wochenschr 2014 https://doi.org/10.1007/s00508-014-0571-z The disclosure needs to additionally mention the following:Erika von Mutius is listed as inventor on the following patents: Publication number EP 1411977: Composition containing bacterial antigens used for the prophylaxis …. ...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章,已发布勘误

    doi:10.1007/s00508-019-01546-3

    authors: Horak E,Morass B,Ulmer H,Genuneit J,Braun-Fahrländer C,von Mutius E,GABRIEL Study Group.

    更新日期:2019-09-01 00:00:00

  • [Photodynamic therapy of malignant brain tumors].

    abstract::The combination of haematoporphyrin derivative (HPD) and visible light at 630 nm, termed as photodynamic treatment (PDT), provides a new tool in tumour therapy, causing selective tumour destruction initiated by photochemical reactions. Up to now 13 patients with malignant brain tumours (12 glioblastoma multiforme, 1 l...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Kostron H,Grunert V

    更新日期:1987-05-29 00:00:00

  • Management of respiratory deterioration in a pregnant patient with severe kyphoscoliosis by non-invasive positive pressure ventilation.

    abstract::The problem of kyphoscoliosis in combination with pregnancy is uncommon and published cases are rare. Until now, little and controversial information on the outcome, optimal management and course of pregnancy in patients with kyphoscoliosis has been available. The majority of maternal deaths seem to be attributed to c...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Kähler CM,Högl B,Habeler R,Brezinka C,Hamacher J,Dienstl A,Prior C

    更新日期:2002-10-31 00:00:00

  • [Preliminary findings with oral whooping cough vaccination in young infants (author's transl)].

    abstract::A preliminary report is presented on oral vaccination against whooping cough. 23 babies younger than, and 2 older than nine weeks and 12 newborn infants were vaccinated orally. No side effects were observed. Serum antibody titres did not increase markedly, but no child was seronegative after vaccination. An evident an...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Maurer H,Höfler KH,Hilbe W,Huber EG

    更新日期:1979-11-09 00:00:00

  • [Napkin thrush clinical picture, mycology, histology, therapy (author's transl)].

    abstract::A well-defined, characteristic disease has been observed in babies at the Department of Dermatology, Innsbruck University, over the past 7 years. On account of the localisation and probable pathogenesis of the condition the term "Windelsoor" (napkin thrush) has been coined by us for it. The clinical picture, the mycol...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Gschwandtner RW,Zelger J,Semenitz E

    更新日期:1975-03-07 00:00:00

  • [Meconium peritonitis: intrauterine follow-up--postnatal outcome].

    abstract::In nine patients with meconium peritonitis prenatal ultrasonographic findings were correlated with the clinical course and outcome. Ultrasound findings included polyhydramnion (n = 4), ascites (n = 4), disseminated (n = 3) and solitary echogenic areas (n = 1), echopoor cystic areas (n = 3) and echogenic-echopoor solit...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Möslinger D,Chalubinski K,Radner M,Weninger M,Rokitansky A,Bernaschek G,Pollak A

    更新日期:1995-01-01 00:00:00

  • Disturbances of thyroid function in the elderly.

    abstract::Disturbances of thyroid function occur more often in the elderly than in the young. This short review gives an up-to-date overview of this topic. After discussing the difference in epidemiology of thyroid dysfunction in elderly persons in areas with different iodine nutrient status, the physiologic age-induced changes...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章,评审

    doi:10.1007/s00508-005-0504-y

    authors: Weissel M

    更新日期:2006-02-01 00:00:00

  • Abiraterone acetate, enzalutamide and their sequence for castration-resistant prostate cancer : Adherence, survival and hospitalization analysis of a medical claims database.

    abstract:OBJECTIVE:To analyze drug adherence, overall survival (OS) and hospitalization rates of patients with castration-resistant prostate cancer (CRPC) treated with arbiraterone acetate (AA), enzalutamide (ENZ) and their sequence in a real-life setting. METHODS:The database of the largest public insurance company in Austria...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:10.1007/s00508-018-1394-0

    authors: Al-Ali BM,Eredics K,Madersbacher S,Schauer I

    更新日期:2018-11-01 00:00:00

  • [Radiotherapeutic methods in the management of ovarian cancer (author's transl)].

    abstract::A report is given of the therapeutic strategy and the stage-adjusted methods of irradiation in the treatment of ovarian cancer. The influence of radical surgery, irradiation and chemotherapy on survival rates is discussed and the results achieved in this unit, especially in patients admitted at a more advanced tumour ...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Kärcher KH

    更新日期:1980-04-25 00:00:00

  • [Steroid receptor levels in human breast carcinomas in relation to serum hormone levels in postmenopausal patients (author's transl)].

    abstract::Serum levels of LH, FSH, HPRL, oestradiol, progesterone and testosterone were determined by radioimmunoassay in 45 postmenopausal patients in the morning before they were operated on for primary breast cancer. Cytosol oestradiol - (E2R) and progesterone receptor (PgR) levels were estimated by Scatchard plot analysis o...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Reiner G,Bieglmayer C,Jakesz R,Kees A,Kolb R,Spona J

    更新日期:1981-05-29 00:00:00

  • [Sterilization of the female with special reference to laparoscopic tubal sterilization].

    abstract::Within recent years female sterilization has gained a place of great importance as an effective contraceptive method. Nowadays sterilization is hardly subject to any formal restrictions, but is solely the responsibility of the woman concerned, the couple or the physician. The indications for sterilization may be divid...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章,评审

    doi:

    authors: Burmucic R

    更新日期:1987-11-06 00:00:00

  • [Preparation of antilymphocytic globulin by means of repeatedly-used immunoadsorbents (author's tranl)].

    abstract::A method is described for the purification of horse anti-human lymphocyte serum, whereby absorption of haemagglutinating antibodies was performed with human RBC ghosts. These ghosts were repeatedly used after desorption. Desorption was carried out in glycine-HCl buffer solution pH = 3,0. The advantages of this method ...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Binder B,Hattey E,Koch M,Luhan W,Nemeth E,Wick G

    更新日期:1977-05-13 00:00:00

  • [The influence of metabolic control on chemotactic activity in insulin-dependent diabetes mellitus (author's transl)].

    abstract::An increased incidence of infections, especially during periods of poor metabolic control is well known in patients with insulin-dependent diabetes mellitus. Therefore, we studied polymorphonuclear chemotaxis and its dependence on the degree of diabetic control in 49 patients with insulin-dependent diabetes mellitus i...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Endler AT,Zielinski C,Schernthaner G,Ludwig H

    更新日期:1978-10-27 00:00:00

  • [Correlation of skinfold thickness with bone density and estradiol, FSH and prolactin level in a sample of 231 women].

    abstract::Skin thickness was measured by means of ultrasound and correlated with the results of bone densitometry and hormonal parameters. Skin thickness and bone density were significantly correlated (p < 0.0001). These results indicated that not only bone, but also skin is a hormone-dependent organ, which responds to the meno...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Gruber D,Sator M,Frigo P,Knogler W,Huber JC

    更新日期:1995-01-01 00:00:00

  • [Detection of a high-affinity prostaglandin I2 binding site in the human thyroid].

    abstract::This study is concerned with the identification and the pharmacological properties of PGI2 receptor binding sites on human thyroid membrane fractions. Scatchard analysis is not linear, revealing a high- and a low-affinity receptor binding site. (3 H)Iloprost binding experiments were performed under various clinical co...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Virgolini I

    更新日期:1988-04-01 00:00:00

  • May mean platelet volume levels be a predictor in the diagnosis of pelvic inflammatory disease?

    abstract:BACKGROUND:Our aim in this study was to investigate whether mean platelet volume (MPV) value could be used as an early marker to predict pelvic inflammatory disease (PID). METHODS:Overall, 44 patients with PID and 44 healthy women were included in the study. The control group consisted of 44 women who applied to the c...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:10.1007/s00508-014-0560-2

    authors: Incebiyik A,Seker A,Vural M,Gul Hilali N,Camuzcuoglu A,Camuzcuoglu H

    更新日期:2014-07-01 00:00:00