Introduction: The cardiogenic chock is the most cause of death following to acute myocardial infarction (IMA) ,it occurs( 10%) in patients who are hospitalized in soins intensive for acute myocardial infarction Lot of patient with acute myocardial infarction develops cardiogenic shock after arriver to hospital The cardiogenic chock with STEMI (7.5%) is more than its with NSTEMI (2.5%) The cardiogenic chock occurs in diabetic patients two field more than non diabetic patient may the prognosis is the same Study methods: our study is retrospective has been done in soins intensive in University Alassad hospital in Lattaquie It includes all patients admitted for acute myocardial infarction pendant the period from January 2014 to January 2016 Results :The percentage of cardiogenic shock in our study is( 12%) .(29.4%)of them are arrived to hospital with cardiogenic shock while( 70.6%) developed cardiogenic shock pendant their hospitalization The responsible pathologies of cardiogenic shock were as following: left ventricular dysfunction (58%) isolated right ventricular shock( 24% ) acute mitral valve insufficiency (11%),septa l interventricular rupture(5%)