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World J Cardiol. Dec 26, 2021; 13(12): 720-732
Published online Dec 26, 2021. doi: 10.4330/wjc.v13.i12.720
Pulmonary artery catheterization in acute myocardial infarction complicated by cardiogenic shock: A review of contemporary literature
Shiva P Ponamgi, Muhammad Haisum Maqsood, Pranathi R Sundaragiri, Michael G DelCore, Arun Kanmanthareddy, Wissam A Jaber, William J Nicholson, Saraschandra Vallabhajosyula
Shiva P Ponamgi, Michael G DelCore, Arun Kanmanthareddy, Division of Cardiovascular Medicine, Department of Medicine, Creighton University School of Medicine, Omaha, NE 68154, United States
Muhammad Haisum Maqsood, Department of Medicine, Lincoln Medical Center/Cornell University, Bronx, NY 10451, United States
Pranathi R Sundaragiri, Department of Primary Care Internal Medicine, Wake Forest Baptist Health, High Point, NC 30260, United States
Wissam A Jaber, William J Nicholson, Section of Interventional Cardiology, Division of Cardiovascular Medicine, Department of Medicine, Emory University School of Medicine, Atlanta, GA 30322, United States
Saraschandra Vallabhajosyula, Section of Cardiovascular Medicine, Department of Medicine, Wake Forest University School of Medicine, High Point, NC 27262, United States
Author contributions: Ponamgi SP, Maqsood MH, and Sundaragiri PR contributed to the literature search and revision; Ponamgi SP, Maqsood MH, Sundaragiri PR, and Vallabhajosyula S revised the manuscript; DelCore MG, Kanmanthareddy A, Jaber WA, Nicholson WJ, Vallabhajosyula S contributed to the supervision; and all authors contributed to the editing and manuscript writing.
Conflict-of-interest statement: There is no conflict of interest associated with any of the senior author or other coauthors contributed their efforts in this manuscript.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Saraschandra Vallabhajosyula, MD, MSc, Assistant Professor, Section of Cardiovascular Medicine, Department of Medicine, Wake Forest University School of Medicine, 306 Westwood Avenue, Suite 401, High Point, NC 27262, United States. svallabh@wakehealth.edu
Received: May 28, 2021
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
Abstract

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.

Keywords: Pulmonary artery catheter, Swan-ganz catheter, Acute myocardial infarction, Cardiogenic shock, Hemodynamic monitoring, Interventional cardiology, Critical care cardiology

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.