%0 Journal Article %T Choque cardiog¨¦nico: Historia, fisiopatolog¨ªa e implicaciones terape¨²ticas. Parte II %A Fernando Zeled¨®n S %A Edgar M¨¦ndez J %A Juan Pucci C %A Carlos Escalante G %J Revista Costarricense de Cardiolog¨ªa %D 2010 %I Asociaci¨®n Costarricense de Cardiolog¨ªa %X El choque cardiog¨¦nico es la principal causa de muerte entre los pacientes que presentan un s¨ªndrome coronario agudo. Despu¨¦s de la revisi¨®n hist¨®rica y de los conceptos fisiol¨®gicos y fisiopatol¨®gicos de esta condici¨®n cl¨ªnica expuesta en la primera parte, se revisa su abordaje terap¨¦utico, principalmente la revascularizaci¨®n de emergencia con angioplast¨ªa o cirug¨ªa. Cardiogenic shock: History, pathophysiology and therapeutical implications. Part II. Cardiogenic shock is the first cause of death among patients with acute coronary syndromes. After a previous discussion of the history and the physiologic and pathophysiologic aspects of this clinical condition in part 1, we review the therapeutic management which predominantly involves urgent angioplasty with stenting or coronary artery bypass graft surgery. %K choque cardiog¨¦nico %K infarto agudo miocardio %K angioplast¨ªa %K cirug¨ªa de bypass coronario %K cardiogenic shock %K acute myocardial infarction %K angioplasty %K coronary artery bypass graft %U http://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S1409-41422010000100005