The second of the two Reviews on cardiogenic shock in acute coronary syndromes focuses by Westaby et al. focuses on the use of mechanical circulatory support systems, from intra-aortic balloon pumps, extracorporeal membrane oxygenation, and ventricular assist devices, to the total artificial heart. The authors highlight the importance of multidisciplinary care teams, and discuss some of the ethical and economic issues that impact the use of these devices.
- Stephen Westaby
- Kyriakos Anastasiadis
- George M. Wieselthaler