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BackgroundClinical outcome of ischemic cardiogenicshock (CS) requiring extracorporeal membrane oxygenation is highly variable, necessitating appropriate assessment of prognosis. However, a systemic predictive model estimating the mortality of refractory ischemic CS is lacking.
The VSR is what is causing the cardiogenicshock! Left ventricular afterload reduction is essential to decrease the trans-se ptal pressure gradient and thus decrease shunt volume, making a larger proportion of the blood flow from the left ventricle through the aortic valve. PIRP is strongly associated with myocardial rupture.
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