Figure 1.

Use of mechanical assist systems in cardiogenic shock. CA, cardiac arrest; (e)CPR, (extracorporeal) cardiopulmonary resuscitation; CS, cardiogenic shock; LV, left ventricle; MCS, mechanical circulatory support; MI, myocardial infarction; PCI, percutaneous coronary intervention; RH, right heart. Green arrow: applicable; red arrow: not applicable. *At admission in cath lab/hospital, relevant hypercapnia to be excluded when pH < 7.0; prior lysis is a contraindication for VA ECMO; pulmonary embolism and cardiac arrest during sports to be considered as more liberal indications for MCS implantation; Impella only is not appropriate in CS without spontaneous circulation. [Color figure can be viewed at wileyonlinelibrary.com]