Gestione dello shock cardiogeno: una proposta di percorso integrato

Translated title of the contribution: Management of cardiogenic shock: a proposal for a shared protocol

Stefano Benenati, Matteo Vercellino, Davide Avenoso, Gabriele Crimi, Andrea Macchione, Corinna Giachero, Manrico Balbi, Roberta Della Bona, Giovanni Gnecco, Andrea Baronetto, Davide Ricci, Giuseppe Buscaglia, Domenico Palombo, Angelo Gratarola, Francesco Santini, Italo Porto

Research output: Contribution to journalArticlepeer-review


Cardiogenic shock (CS) is a complex and relatively rare disease. Whilst its mortality remains unacceptably high, a multidisciplinary approach based on pre-established and shared protocols may improve prognosis and ensure appropriate resource allocation. Comprehensive hemodynamic assessment and monitoring as well as tailored, goal-directed medical therapy are part of an optimal management. Moreover, mechanical support devices may be helpful as they sustain hemodynamics to a greater extent as compared to inotropes and vasopressors, while lacking their cardiotoxic effects. Therefore, they are increasingly used in CS patients. In 2019, a new protocol for the management of patients with CS was adopted at the Ospedale Policlinico San Martino (HSM) in Genoa, Italy. Following in the footsteps of similar international experiences, the HSM protocol aims at streamlining the management of these high-risk patients improving the cooperation among healthcare specialists, and also addressing the key issues of mechanical support device implantation and appropriate referral for palliative care.

Translated title of the contributionManagement of cardiogenic shock: a proposal for a shared protocol
Original languageItalian
Pages (from-to)29-38
Number of pages10
JournalGiornale italiano di cardiologia (2006)
Issue number9
Publication statusPublished - Sep 1 2021

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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