UPDATES IN THE MANAGEMENT OF CARDIOGENIC SHOCK AFTER ACUTE CORONARY SYNDROME

Abstract

Cardiogenic shock (CS) represents the most severe form of acute heart failure and remains one of the leading causes of in-hospital mortality among patients with acute coronary syndrome (ACS). This study aimed to identify the main scientific and technological updates in the management of post-ACS CS published between 2015 and 2025. An integrative literature review was conducted using the PubMed, SciELO, ScienceDirect, LILACS, and Consensus.app databases, employing controlled descriptors and Boolean combinations. After applying inclusion and exclusion criteria, 40 articles were selected. The results were organized into four thematic categories: early revascularization and hemodynamic support strategies; use of mechanical circulatory support; technological innovations and predictive models; and recent clinical guidelines and consensus statements. Evidence indicates that early revascularization and rational use of circulatory support devices, combined with the implementation of multidisciplinary Shock Teams, significantly reduce mortality. However, gaps remain regarding the standardization of protocols, validation of predictive models, and integration of emerging technologies. It is concluded that contemporary management of CS requires an integrated approach involving science, technology, and healthcare organization, guided by robust evidence and interdisciplinary collaboration.

DOI: https://doi.org/10.56238/sevened2025.037-034