Published online Dec 26, 2021. doi: 10.4330/wjc.v13.i12.720
Peer-review started: May 28, 2021
First decision: June 17, 2021
Revised: June 24, 2021
Accepted: December 3, 2021
Article in press: December 3, 2021
Published online: December 26, 2021
Acute myocardial infarction (AMI) with left ventricular (LV) dysfunction patients, the most common cause of cardiogenic shock (CS), have acutely deteriorating hemodynamic status. The frequent use of vasopressor and inotropic pharmacologic interventions along with mechanical circulatory support (MCS) in these patients necessitates invasive hemodynamic monitoring. After the pivotal Evaluation Study of Congestive Heart Failure and Pulmonary Artery Catheterization Effectiveness trial failed to show a significant improvement in clinical outcomes in shock patients managed with a pulmonary artery catheter (PAC), the use of PAC has become less popular in clinical practice. In this review, we summarize currently available literature to summarize the indications, clinical relevance, and recommendations for use of PAC in the setting of AMI-CS.
Core Tip: The unstable hemodynamic status in acute myocardial infarction-cardiogenic shock patients and frequent use of vasopressor and inotropic medications along with mechanical circulatory support devices, may suggest a role for invasive hemodynamic monitoring with a pulmonary artery catheter (PAC) to help improve outcomes. In this review, we summarize the currently available literature to summarize the indications, clinical relevance, and recommendations for use of PAC in the setting of acute myocardial infarction-cardiogenic shock.