What treatments are recommended for cardiogenic shock due to pump failure after STEMI?
Emergency revascularization with either PCI or CABG is recommended in suitable patients with cardiogenic shock due to pump failure after STEMI irrespective of the time delay from MI onset. In the absence of contraindications, fibrinolytic therapy should be administered to patients with STEMI and cardiogenic shock who are unsuitable candidates for either PCI or CABG. Additionally, the use of intra-aortic balloon pump (IABP) counter-pulsation can be useful for patients with cardiogenic shock after STEMI who do not quickly stabilize with, and alternative LV assist devices for circulatory support may be considered in patients with refractory cardiogenic shock.