History, pathophysiology and therapeutic implications. The complexity of cardiogenic shock as a clinical entity shows the difficulty of these patients and its management in intensive care units. The deployment of resources has to be early and efficient as to establish an early treatment while diagnosing the cause that led to cardiogenic shock key words. Shock cardiogenico angioplastia primaria insuficiencia cardiaca summary cardiogenic shock cardiogenic shock cs is a severe clinical and hemodynamic condition, but treatable and with reasonable chance of recovery. Cardiogenic shock is the major cause of death among patients with acute coronary syndrome. The history as well as physiologic and pathophysiologic analysis of this clinical condition, based on its therapeutic management, are presented. The implantation of a ventricular assist device preserves the lives of patients with lifethreatening cardiogenic shock and leads to recovery from secondary organ failure. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext.