Faculty Opinions recommendation of Early revascularization in acute myocardial infarction complicated by cardiogenic shock. SHOCK Investigators. Should We Emergently Revascularize Occluded Coronaries for Cardiogenic Shock.

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Abstract
A continued problem in the treatment of acute myocardial infarction is the patient with an acute infarction who develops cardiogenic shock unrelated to mechanical complications. This complicates up to 5-7% of cases. In-hospital mortality even with rapid reperfusion strategies (usually percutaneous coronary intervention and occasionally coronary artery bypass graft) is at least 40%. This randomized controlled trial demonstrated that while successful reperfusion reduces mortality versus failed or no reperfusion, there is still the need to significantly improve outcomes. This Recommendation is of an article referenced in an F1000 Faculty Review also written by Moussa Saleh and John A Ambrose.

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