IABP原理与临床应用时机选择.pptVIP

* Pathophysiology of Cardiogenic shock due to acute myocardial infarction: The pathophysiology of Cardiogenic Shock involves a downward spiral: ischemia causes myocardial dysfunction, which in turn, worsens ischemia. Left ventricular [LV] dysfunction leads to increased sympathetic tone and activation of the renin-angiotensin system [RAS] causing vasoconstriction and sodium retention, two factors which promote further LV dysfunction. Patients in shock often have obstruction of a major coronary vessel, with resultant extensive loss of contractile mass, which leads to decreased arterial pressur