抄録
This study retrospectively examined prognostic factors for acute myocardial infarction in 150 patients with cardiogenic shock among 1, 200 patients who developed acute myocardial infarction. The mortality was 35.3%. A history of old myocardial infarction, multi-vessel coronary lesions, unsuccessful reperfusion therapy, and infarction of the left main coronary trunk significantly influenced prognosis. In patients in whom circulatory reconstruc-tion led to discharge without residual ischemia, the prognosis was similar to that in patients with usual myocardial infarction. The prognosis of acute myocardial infarction with cardiogenic shock may be improved by performing reperfusion therapy earlier. If necessary, residual ischemia should be treated by additional circulatory reconstruction.
