The incidence of coronary heart disease acute myocardial infarction is increasing year by year and has become a major threat to human health. Its diagnosis includes typical or atypical chest pain (sometimes present in the left upper arm, neck, jaw, back of shoulder, and upper abdomen); electrocardiographic changes; and changes in serum myocardial markers. How often do patients with acute myocardial infarction die from serious complications, including acute left heart failure, arrhythmias, pericardial tamponade, electro-mechanical separation, and cardiogenic shock? Among them, cardiogenic shock is a complication that is quite complicated to treat during hospitalization for acute myocardial infarction. Feng Baolin, Department of Cardiovascular Medicine, Second People’s Hospital of Neihuang, Henan Province, China
I Diagnosis of cardiogenic shock
When chest pain occurs in coronary heart disease, blood pressure fluctuation is the most common phenomenon, and the drop in blood pressure at this time may not necessarily be shock. If the pain is prolonged and the systolic blood pressure is still below 80 mmHg after relief, and there are manifestations of tissue and organ hypoperfusion, such as irritability, pallor, clammy and cold skin, thin and rapid pulse, profuse sweating, and decreased urine output (