Abstract: Despite the extensive implementation of early revascularization, acute myocardial infarction(AMI)  with cardiogenic shock remains the emphasis and difficulty of treatment programs.  In addition,  it is often combined with multiple vascular lesions (MVD). The optimal strategy of revascularization of  AMI  with cardiogenic shock is still uncertain. This review focuses on the definition and etiology of cardiogenic shock, the importance of early revascularization in patients with  AMI  combined with cardiogenic shock and the selection of revascularization strategies.

Key words: myocardial infarction, shock, , cardiogenic, revascularization;strategy