UDC 616.12-008.46:616.127-005.8:616-005]-07-08

Cardiogenic shock (CS) is a clinical syndrome resul琀椀ng from a sharp decrease in cardiac output, which leads to hypoperfusion of vital organs and 琀椀ssues. Despite the achievements of pharmacological therapy, mortality in CS remains high. In this regard, the role of temporary mechanical circulatory support (TMCS) methods is increasing, which allows for stabilising hemodynamics, ensuring adequate organ perfusion, and reducing the load on the myocardium. Such devices can serve as a bridge to restoring heart func琀椀on, provide long-term mechanical support, or facilitate transplanta琀椀on. Over the past decade, signi昀椀cant progress has been noted in the development of TMCS technologies, among which intraaor琀椀c balloon counterpulsa琀椀on (IABP), microaxial pump systems (Impella), transseptal ventricular assist devices (TandemHeart) and extracorporeal membrane oxygena琀椀on (ECMO) are the most widely used. The purpose of this study is to examine various op琀椀ons for modern methods of temporary mechanical circulatory
support, to compare their availability, advantages, and disadvantages, as documented in modern literature, to op琀椀mise the intensive care of pa琀椀ents with acute heart failure. Biblioseman琀椀c, compara琀椀ve and systema琀椀c analysis methods were used. The results of this study are based on
data from the analysis of modern literature, as well as the results of randomised trials and meta-analyses devoted to the study of modern methods of temporary mechanical circulatory support. The use of MCS devices in pa琀椀ents with progressive heart failure unresponsive to conven琀椀onal intensive care management provides hemodynamic support and stabiliza琀椀on and increases pa琀椀ent survival. Rather than viewing these devices as compe琀椀ng technologies, it is essen琀椀al to understand each device individually to leverage its unique proper琀椀es in various clinical situa琀椀ons. Early use of MCS devices in CS is associated with be琀琀er outcomes because they mi琀椀gate the adverse e昀昀ects of systemic hypoperfusion on target organs and reduce the need for inotropes/vasopressors, thereby minimising myocardial oxygen consump琀椀on and improving microcircula琀椀on.
Key words: cardiogenic shock, temporary mechanical circulatory support, intra-aor琀椀c balloon counterpulsa琀椀on, Impella, TandemHeart, extracorporeal membrane oxygena琀椀on