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Cardiogenic shock is a complex clinical syndrome primarily resulting from acute myocardial infarction or decompensated heart failure, though other less common causes exist. It is characterized by hypotension, reduced organ perfusion, and diminished cardiac output, potentially leading to extremis and, if untreated, death. Advances in hemodynamic monitoring and the use of vasoactive support can promote recovery, along with mechanical circulatory support. Given the high mortality rate associated with cardiogenic shock, early identification and intervention by specialized shock teams have been explored. Additionally, palliative care is integral to multidisciplinary teams in establishing and addressing patient and family goals of care.