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Conclusion

Although cardiogenic shock remains a deadly complication of STEMI, early diagnosis and intervention have led to improved outcomes. The diagnosis of cardiogenic shock is primarily based on clinical signs and symptoms of low cardiac output and heart failure and confirmed with placement of a PAC. Vasopressor and inotropic therapies are typically required and in severe cases, an IABP can provide additional haemodynamic support. Ultimately, early revascularisation performed via PCI or CABG offers patients the greatest chance for survival.

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