Post-MI cardiogenic shock is associated with a mortality of 50-70%. There are only a few interventions that have been demonstrated to improve outcomes: early use of intra-aortic balloon pump, stenting, and G2B3A inhibitors.
It is generally recommended to avoid clopidogrel since so many of these patients will require CABG.
Early use of mechanical ventilation decreases work of breathing and improves oxygenation.
Remember that age alone is not a contraindication to aggressive treatment.
