What interventions are listed for cardiogenic shock?

• A. Antibiotic therapy only
• B. Angioplasty and stenting; Balloon pump; ECMO
• C. Vasopressin infusion only
• D. Bed rest

Answer: (B)

In cardiogenic shock, the priority is to restore adequate perfusion by both addressing the heart’s failing pump and providing temporary circulatory support. Revascularization with angioplasty and stenting targets the underlying cause when the shock is driven by acute coronary occlusion, helping the heart regain its pumping ability. Mechanical circulatory support devices, such as a balloon pump, improve coronary perfusion and decrease afterload, giving the heart a better chance to recover. ECMO provides more extensive support, sustaining circulation and oxygen delivery when the heart cannot compensate on its own. The other options don’t address the main problem: antibiotics alone won’t fix pump failure, bed rest doesn’t improve hemodynamics, and vasopressin alone doesn’t revascularize or support the heart’s output.