. Chodek-a, M. Angioi, and M. Fajraoui, Facteurs pronostiques de mortalit?? chez les patients en ??tat de choc cardiog??nique primaire trait??s par angioplastie en phase aigu?? d???infarctus, Annales de Cardiologie et d'Ang??iologie, vol.54, issue.2, pp.74-83, 2005.
DOI : 10.1016/j.ancard.2004.07.003

G. Leurent, Choc cardiog??nique isch??mique. O?? en est-on en 2012???, Annales de Cardiologie et d'Ang??iologie, vol.61, issue.6, pp.417-439, 2012.
DOI : 10.1016/j.ancard.2012.09.010

C. Spaulding, Choc cardiogénique de l ' infarctus du myocarde, First Edit, Insuffis Circ aiguë, pp.535-548, 2009.

R. Goldberg, F. Spencer, J. Gore, D. Lessard, and J. Yarzebski, Thirty-Year Trends (1975 to 2005) in the Magnitude of, Management of, and Hospital Death Rates Associated With Cardiogenic Shock in Patients With Acute Myocardial Infarction: A Population-Based Perspective, Circulation, vol.119, issue.9, pp.1211-1220, 2009.
DOI : 10.1161/CIRCULATIONAHA.108.814947

D. Hasdai, E. Topol, R. Califf, P. Berger, and D. Holmes, Cardiogenic shock complicating acute coronary syndromes, The Lancet, vol.356, issue.9231, pp.749-56, 2000.
DOI : 10.1016/S0140-6736(00)02640-4

E. Bonnefoy and G. Kirkorian, La mortalit?? des syndromes coronariens aigus, Annales de Cardiologie et d'Ang??iologie, vol.60, issue.6, pp.311-317, 2011.
DOI : 10.1016/j.ancard.2011.10.001

P. Steg, S. James, and D. Atar, ESC Guidelines for the Management of Acute Myocardial Infarction in Patients Presenting With ST-Segment Elevation, Revista Espa??ola de Cardiolog??a (English Edition), vol.66, issue.1, pp.2569-619, 2012.
DOI : 10.1016/j.rec.2012.10.010

O. Gara, P. Kushner, F. Ascheim, and D. , 2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction, Journal of the American College of Cardiology, vol.61, issue.4, pp.78-140, 2013.
DOI : 10.1016/j.jacc.2012.11.019

J. Dujardin and J. Cambou, Épidémiologie De L'Infarctus Du Myocarde, EMC ? Cardiol, vol.2, pp.375-387, 2005.

P. Vervueren, M. Elbaz, and A. Wagner, The major element of 1-year prognosis in acute coronary syndromes is severity of initial clinical presentation: Results from the French MONICA registries, Archives of Cardiovascular Diseases, vol.105, issue.10, pp.478-88, 2012.
DOI : 10.1016/j.acvd.2012.05.008

F. Lapostolle, N. Dardel, F. Rouyer, C. Andriansen, W. Taillat et al., Optimisation de la prise en charge des patients avec un infarctus aigu du myocarde avec ??l??vation du segment??ST??: strat??gies cl??s aux urgences et en pr??hospitalier, Journal Europ??en des Urgences, vol.21, issue.4, pp.138-146, 2008.
DOI : 10.1016/j.jeur.2009.02.001

P. Steg, J. Cambou, and P. Goldstein, Bypassing the emergency room reduces delays and mortality in ST elevation myocardial infarction: the USIC 2000 registry, Heart, vol.92, issue.10, pp.1378-83, 2006.
DOI : 10.1136/hrt.2006.101972

J. Dujardin, P. Steg, and J. Puel, FACT??: registre national fran??ais des syndromes coronaires aigus., Annales de Cardiologie et d'Ang??iologie, vol.52, issue.5, pp.337-343, 2003.
DOI : 10.1016/j.ancard.2003.08.002

C. Spaulding, Choc cardiogénique de l ' infarctus du myocarde, First Edit, Insuffis Circ aiguë, pp.535-548, 2009.

J. Hochman, Cardiogenic Shock Complicating Acute Myocardial Infarction: Expanding the Paradigm, Circulation, vol.107, issue.24, pp.2998-3002, 2003.
DOI : 10.1161/01.CIR.0000075927.67673.F2

M. Picard, Echocardiographic Predictors of Survival and Response to Early Revascularization in Cardiogenic Shock, Circulation, vol.107, issue.2, pp.279-284, 2002.
DOI : 10.1161/01.CIR.0000045667.11911.F6

S. Manzo?silberman and N. Deye, Management of ischaemic cardiogenic shock: an update, R??animation, vol.35, issue.2, 2014.
DOI : 10.1007/s13546-014-0859-z

J. Dujardin and O. Fabre, Complications de l'infarctus du myocarde. ??volution et pronostic, EMC - Cardiologie, vol.3, issue.1, pp.1-14, 2008.
DOI : 10.1016/S1166-4568(07)43784-6

U. Zeymer, A. Vogt, R. Zahn, M. Weber, U. Tebbe et al., Predictors of in-hospital mortality in 1333 patients with acute myocardial infarction complicated by cardiogenic shock treated with primary percutaneous coronary intervention (PCI) Results of the primary PCI registry of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhaus??rzte (ALKK), European Heart Journal, vol.25, issue.4, pp.322-330, 2004.
DOI : 10.1016/j.ehj.2003.12.008

J. Katz, A. Stebbins, and J. Alexander, Predictors of 30-day mortality in patients with refractory cardiogenic shock following acute myocardial infarction despite a patent infarct artery, American Heart Journal, vol.158, issue.4, pp.680-687, 2009.
DOI : 10.1016/j.ahj.2009.08.005

T. Sanborn, L. Sleeper, and E. Bates, Impact of Thrombolysis , Intra?aortic Balloon Pump Counterpulsation , and Their Combination in Cardiogenic Shock Complicating Acute Myocardial Infarction : A Report from the SHOCK Trial Registry, 2000.

J. Hochman, L. Sleeper, J. Webb, T. Sanborn, H. White et al., Early Revascularization in Acute Myocardial Infarction Complicated by Cardiogenic Shock, New England Journal of Medicine, vol.341, issue.9, pp.625-634, 1999.
DOI : 10.1056/NEJM199908263410901

S. Wong, T. Sanborn, and L. Sleeper, Angiographic findings and clinical correlates in patients with cardiogenic shock complicating acute myocardial infarction: a report from the SHOCK Trial Registry, Journal of the American College of Cardiology, vol.36, issue.3, 2000.
DOI : 10.1016/S0735-1097(00)00873-1

J. Hochman, L. Sleeper, J. Webb, V. Dzavik, C. Buller et al., Early Revascularization and Long-term Survival in Cardiogenic Shock Complicating Acute Myocardial Infarction, JAMA, vol.295, issue.21, pp.2511-2516, 2006.
DOI : 10.1001/jama.295.21.2511

F. Hussain, R. Philipp, R. Ducas, J. Elliott, V. Dzavik et al., The ability to achieve complete revascularization is associated with improved in-hospital survival in cardiogenic shock due to myocardial infarction: Manitoba cardiogenic shock registry investigators, Catheterization and Cardiovascular Interventions, vol.160, issue.4, pp.549-550, 2011.
DOI : 10.1002/ccd.23006

L. Rami, C. Giunti, A. Mebazaa, and C. Ichai, Choc cardiogénique: quel inotrope choisir. Conférences d'actualisation 2004 SFAR, pp.425-440, 2004.

J. Vincent, D. Backer, and D. , Circulatory Shock, N Engl J Med, vol.369, pp.1726-1734, 2013.

K. Souissi, N. Shimi, J. Dorsett, A. Mebazaa, U. Denis et al., Le choc cardiogénique : données physiopathologiques et thérapeutiques récentes, Les Essentiels, pp.449-462, 2006.

X. Monnet and J. Teboul, Ventilation mécanique de l'état de choc cardiogénique: interactions coeur?poumons. SFAR Conférences d'actualisations, pp.477-488, 2004.

K. Sjauw, A. Engström, M. Vis, R. Van-der-schaaf, J. Baan et al., A systematic review and meta-analysis of intra-aortic balloon pump therapy in ST-elevation myocardial infarction: should we change the guidelines?, European Heart Journal, vol.30, issue.4, pp.459-68, 2009.
DOI : 10.1093/eurheartj/ehn602

H. Thiele, U. Zeymer, and F. Neumann, Intra-aortic balloon counterpulsation in acute myocardial infarction complicated by cardiogenic shock (IABP-SHOCK II): final 12 month results of a randomised, open-label trial, The Lancet, vol.382, issue.9905, pp.1-8, 2013.
DOI : 10.1016/S0140-6736(13)61783-3

C. A. Leprince, P. Luyt, C. Trouillet, J. Chastre, and J. , Assistance cardiorespiratoire par extracorporeal membrane oxygenation (ECMO), Réanimation, vol.18, pp.420-427, 2009.

B. Schwarz, P. Mair, . Margreiter, A. Pomaroli, C. Hoermann et al., Experience with percutaneous venoarterial cardiopulmonary bypass for emergency circulatory support*, Critical Care Medicine, vol.31, issue.3, pp.758-64, 2003.
DOI : 10.1097/01.CCM.0000053522.55711.E3

X. Allirot, A. Fianu, and F. Favier, ??volution des disponibilit??s alimentaires ?? la r??union Depuis 1975, Cahiers de Nutrition et de Di??t??tique, vol.41, issue.4, pp.203-209, 2006.
DOI : 10.1016/S0007-9960(06)70628-9

E. Rachou, M. Ricquebourg, and J. Yovanovitch, Pratiques et connaissances des reunionnais vis?a?vis du diabete, de l'alimentation et de l'activite physique, 2004.

E. Rachou, M. Ricquebourg, and P. Vilain, Etat de santé de la population à la Réunion, Obs Régional la Santé, pp.1-155, 2008.

L. Song, T. Alves, and A. Bourde, Registre des syndromes coronariens ?? la R??union??: Estim, Journal Europ??en des Urgences, vol.21, p.3, 2008.
DOI : 10.1016/j.jeur.2008.03.203

A. Desaubliaux, Prise en charge des syndromes coronariens aigus avec sus? décalage du segment ST dans un centre dépourvu de coronarographie, pp.1-66, 2012.

C. C. and S. Laurent, Protocole de prise en charge des syndromes coronariens aigus à l'Ile de la Réunion. Traitement et filière de soins, pp.1-7, 2012.

K. Thygesen, J. Alpert, and A. Jaffe, Third universal definition of myocardial infarction, European Heart Journal, vol.33, issue.20, pp.2551-67, 2012.
DOI : 10.1093/eurheartj/ehs184

A. Chodek, M. Angioi, and M. Fajraoui, Facteurs pronostiques de mortalité chez les patients en état de choc cardiogénique primaire traités par angioplastie en phase aiguë d ' infarctus Mortality prognostic factors of cardiogenic shock complicating an acute myocardial infarction and treated by, pp.74-79, 2005.

V. Menon, H. White, T. Lejemtel, J. Webb, L. Sleeper et al., The clinical profile of patients with suspected cardiogenic shock due to predominant left ventricular failure: a report from the SHOCK Trial Registry, Journal of the American College of Cardiology, vol.36, issue.3, pp.1071-1076, 2000.
DOI : 10.1016/S0735-1097(00)00874-3

J. Webb, A. Lowe, and T. Sanborn, Percutaneous coronary intervention for cardiogenic shock in the SHOCK trial, Journal of the American College of Cardiology, vol.42, issue.8, pp.1380-1386, 2003.
DOI : 10.1016/S0735-1097(03)01050-7

S. Valente, C. Lazzeri, S. Vecchio, C. Giglioli, M. Margheri et al., Predictors of in-hospital mortality after percutaneous coronary intervention for cardiogenic shock, International Journal of Cardiology, vol.114, issue.2, pp.176-82, 2007.
DOI : 10.1016/j.ijcard.2006.01.024

D. Himbert, J. Golmard, J. Juliard, L. Feldman, and P. Steg, Impact of smoking on the incidence and survival of cardiogenic shock complicating acute myocardial infarction treated with reperfusion therapy, The American Journal of Cardiology, vol.89, issue.1, pp.73-78, 2002.
DOI : 10.1016/S0002-9149(01)02169-5

F. Addad, Z. Dridi, and M. Jemmali, ????Paradoxe des fumeurs???? et strat??gie de reperfusion ?? la phase aigu?? de l???infarctus du myocarde, Annales de Cardiologie et d'Ang??iologie, vol.59, issue.4, pp.183-192, 2010.
DOI : 10.1016/j.ancard.2010.07.006

H. Dauerman, R. Goldberg, K. White, J. Gore, I. Sadiq et al., Outcomes of Patients With Acute Myocardial Infarction Complicated by, pp.838-842, 2002.

Y. Yoo, K. Kang, H. Yoon, J. Myung, Y. Choi et al., One?year clinical outcomes in invasive treatment strategies for acute ST? elevation myocardial infarction complicated by cardiogenic shock in elderly patients, J Geriatr Cardiol, vol.10, pp.235-276, 2013.

R. Mehta, R. Califf, Q. Yang, K. Pieper, H. White et al., Impact of Initial Heart Rate and Systolic Blood Pressure on Relation of Age and Mortality Among Fibrinolytic-Treated Patients With Acute ST-Elevation Myocardial Infarction Presenting With Cardiogenic Shock, The American Journal of Cardiology, vol.99, issue.6, pp.793-799, 2007.
DOI : 10.1016/j.amjcard.2006.10.035

B. Böttiger, H. Arntz, D. Chamberlain, E. Bluhmki, A. Belmans et al., Thrombolysis during Resuscitation for Out-of-Hospital Cardiac Arrest, New England Journal of Medicine, vol.359, issue.25, pp.2651-62, 2008.
DOI : 10.1056/NEJMoa070570

J. Nolan, J. Soar, D. Zideman, D. Biarent, L. Bossaert et al., European Resuscitation Council Guidelines for Resuscitation, 2010.

D. Mylotte, M. Morice, H. Eltchaninoff, J. Garot, Y. Louvard et al., Primary Percutaneous Coronary Intervention in Patients With Acute Myocardial Infarction, Resuscitated Cardiac Arrest, and Cardiogenic Shock, JACC: Cardiovascular Interventions, vol.6, issue.2, pp.115-140, 2013.
DOI : 10.1016/j.jcin.2012.10.006

J. Webb, L. Sleeper, C. Buller, J. Boland, A. Palazzo et al., Implications of the timing of onset of cardiogenic shock after acute myocardial infarction: a report from the SHOCK Trial Registry, Journal of the American College of Cardiology, vol.36, issue.3, pp.1994-1999, 2000.
DOI : 10.1016/S0735-1097(00)00876-7

S. Topalian, F. Ginsberg, and J. Parrillo, Cardiogenic shock, Critical Care Medicine, vol.36, issue.Suppl, pp.66-74, 2008.
DOI : 10.1097/01.CCM.0000296268.57993.90

M. Singh, J. White, D. Hasdai, P. Hodgson, P. Berger et al., Long-Term Outcome and its Predictors Among Patients With ST-Segment Elevation Myocardial Infarction Complicated by Shock, Journal of the American College of Cardiology, vol.50, issue.18, pp.1752-1760, 2007.
DOI : 10.1016/j.jacc.2007.04.101

N. Anavekar, J. Mcmurray, and E. Velasquez, Relation between Renal Dysfunction and Cardiovascular Outcomes after Myocardial Infarction, pp.1285-1295, 2004.

N. Tsao, C. Shih, and J. Yeh, Extracorporeal membrane oxygenation???assisted primary percutaneous coronary intervention may improve survival of patients with acute myocardial infarction complicated by profound cardiogenic shock, Journal of Critical Care, vol.27, issue.5, pp.530-531, 2012.
DOI : 10.1016/j.jcrc.2012.02.012

D. Brunet, H. Eltchaninoff, M. Kerkeni, C. Tron, B. Baala et al., Mechanical circulatory assistance in myocardial infarction with refractory cardiogenic shock: clinical experience in 10 patients at a teaching hospital in Rouen, Archives of Cardiovascular Diseases, vol.101, issue.1, pp.30-34, 2008.
DOI : 10.1016/S1875-2136(08)70252-3

N. Boudou, B. Marcheix, C. Biendel?piquet, N. Dumonteil, T. Lhermusier et al., Assistances circulatoires dans les chocs cardiog??niques, Annales de Cardiologie et d'Ang??iologie, vol.59, issue.6, pp.362-368, 2010.
DOI : 10.1016/j.ancard.2010.10.002

J. Hochman, L. Sleeper, J. Webb, T. Sanborn, H. White et al., Early Revascularization in Acute Myocardial Infarction Complicated by Cardiogenic Shock, New England Journal of Medicine, vol.341, issue.9, pp.625-634, 1999.
DOI : 10.1056/NEJM199908263410901

S. Wong, L. Sleeper, E. Monrad, M. Menegus, V. Dzavik et al., Absence of gender differences in clinical outcomes in patients with cardiogenic shock complicating acute myocardial infarction. a report from the SHOCK trial registry, ACC Current Journal Review, vol.11, issue.2, pp.1395-401, 2001.
DOI : 10.1016/S1062-1458(02)00527-5

V. Kunadian, W. Qiu, B. Bawamia, M. Veerasamy, S. Jamieson et al., Gender Comparisons in Cardiogenic Shock During ST Elevation Myocardial Infarction Treated by Primary Percutaneous Coronary Intervention, The American Journal of Cardiology, vol.112, issue.5, pp.636-677, 2013.
DOI : 10.1016/j.amjcard.2013.04.038

S. Zimmermann, F. Flachskampf, and A. Alff, Out-of-hospital cardiac arrest and percutaneous coronary intervention for ST-elevation myocardial infarction: Long-term survival and neurological outcome, International Journal of Cardiology, vol.166, issue.1, pp.236-277, 2013.
DOI : 10.1016/j.ijcard.2011.11.029

C. Callaway, R. Schmicker, and S. Brown, Early Coronary Angiography and Induced Hypothermia are Associated with Survival and Functional Recovery after Out? of?Hospital Cardiac Arrest. Resuscitation. doi: 10.1016/j.resuscitation.2013.12.028 ? Enoxaparine (Lovenox@ ) ? Si Age ? 75 ans : Enoxaparine (Lovenox@) 30 mg IVD suivi de 1 mg/kg en sous cutané ? Si Age > 75 ans : Enoxaparine (Lovenox@) : pas de dose de charge, 0,75 mg/kg en sous cutané o Les AntiGpIIbIIIa seront administrés dans les formes graves des STEMI, La molécule de choix est le Tirofibran (Agrastat@): bolus initial 25 microg, pp.15-18, 2014.

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