Cardiogenic Shock Clinical Presentation, Management, and In-Hospital Outcomes in Patients Admitted to the Acute Cardiac Care Unit of a Tertiary Hospital: Does Gender Play a Role?

Jerónimo, Adrián; Ferrández‐Escarabajal, Marcos; Ferrera, Carlos; Noriega, Francisco J.; Diz-Díaz, Jesús; Fernández‐Jiménez, Rodrigo; McInerney, Angela; Fernández‐Ortíz, Antonio; Viana-Tejedor, Ana

doi:10.3390/jcm9103117

Cited by 7 publications

(7 citation statements)

References 26 publications

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“…In our current study, we found CS to have poor outcome [13][14] .AMI is the mainreason of bereavement in the recentera. CS most frequentlytranspires as animpediment of AMI 15 . Patients with CS have a higher risk of death and cardiovascular complications during AMI 16 .…”

Section: Discussionmentioning

confidence: 99%

In Hospital Outcomes of Cardiogenic Shock among Patients with Acute Myocardial Infarction

Iqbal¹,

Nazir²,

Muhammad³

et al. 2022

PJMHS

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Aim: To evaluate in-hospital cardiogenic shock (CS) outcomes after acute myocardial infarction. Study Design: A descriptive study. Place and Duration:InPunjab Institute of Cardiology, Lahorefor six-months duration from 18th June 2021 to 17th December 2021. Materials and Methods: After meeting the inclusion criteria, 200 consecutive patients with cardiogenic shock afterwardsthe acute myocardial infarction were studied. The major group was Group I consisting of 105 (52.5%) subjects; these were CS patients with STEMI. The patients of group-IIcomprised of 80 (40%) subjects, these were cases with CS with Non-STEMI and patients of the group III were 15 (7.5%); with acute left bundle branch block (LBBB) in the CS setting. Results: The mean age of the study people was 57.2 ± 29.40. The males in the studied people were 130 (65%), and women 70 (35%). In group I; 50 (47.6%) was the in-hospital mortality, group II has in-hospital mortality of 57 (71.3%) and in group III it was 7 (46.7%) cases. Conclusions: Patients who developed cardiogenic shock afterwardsacute myocardial infarction have high ratio of mortality during their stay in hospital. This is because there are more risk factors in this subset of patients. Keywords: acute myocardial infarction, cardiogenic shock, hospital mortality, left bundle branch block.

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Section: Discussionmentioning

confidence: 99%

In Hospital Outcomes of Cardiogenic Shock among Patients with Acute Myocardial Infarction

Iqbal¹,

Nazir²,

Muhammad³

et al. 2022

PJMHS

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“…Although in-hospital mortality is higher amongst Hispanics (74%) and African Americans (65%), these differences disappear when controlled for access to primary PCI ( 20 ). Similarly, the higher mortality observed amongst women with AMI-CS ( 21 ), is reduced with the use of standardized management algorithms ( 22 ).…”

Section: Current Landscapementioning

confidence: 99%

Systems of Care in Cardiogenic Shock

Villela

Clark

William

et al. 2021

Front. Cardiovasc. Med.

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Outcomes for cardiogenic shock (CS) patients remain relatively poor despite significant advancements in primary percutaneous coronary interventions (PCI) and temporary circulatory support (TCS) technologies. Mortality from CS shows great disparities that seem to reflect large variations in access to care and physician practice patterns. Recent reports of different models to standardize care in CS have shown considerable potential at improving outcomes. The creation of regional, integrated, 3-tiered systems, would facilitate standardized interventions and equitable access to care. Multidisciplinary CS teams at Level I centers would direct care in a hub-and-spoke model through jointly developed protocols and real-time shared decision making. Levels II and III centers would provide early access to life-saving therapies and safe transfer to designated hub centers. In regions with large geographical distances, the implementation of telemedicine-cardiac intensive care unit (CICU) care can be an important resource for the creation of effective systems of care.

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“…Išsivysčius kardiogeniniam šokui, mirštamumas siekia iki 50 proc. [2]. Mokslinės literatūros duomenimis, minėtų kritinių būklių metu sėkmingai naudojamos įvairios pagalbinės kraujotakos priemonės, lemiančios iki 70 proc.…”

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Mechanical Circulatory Support for Myocarditis Complicated by Cardiogenic Shock

Jankuvienė

Ščupakova

Urbonas

et al. 2021

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Background. Cardiogenic shock caries high mortality and morbidity. Myocarditis patients developing cardiogenic shock refractory to medical treatment might benefit from extracorporeal membrane oxygenation or mechanical ventricular assist devices. Methods. A retrospective, single center observational study to assess the rate and outcomes of mechanical circulatory support of patients with fulminant myocarditis related cardiogenic shock. Short-term outcomes were evaluated. The primary endpoint of the study was hospital survival. Results. Two hundred ninetyone patient were supported with short-term mechanical assist devices at our institution during 12 year period. Among them, 4 (1.4%) were treated for myocarditis related cardiogenic shock. All patients were female, with a mean age of 34±4 years. In one case surgically implantable short-term mechanical assist device was used, in other three cases – extracorporeal membrane oxygenation. The mean duration of the support was 364±273 hours, mean intensive care unit stay – 35±29 days. Three of four patients were successfully weaned from the support and discharged from the hospital with complete heart function recovery. Conclusion. Patient with fulminant myocarditis, who would have died without the initiation of mechanical circulatory, had favorable short-term outcome with 75% survival rate.

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Cardiogenic Shock Clinical Presentation, Management, and In-Hospital Outcomes in Patients Admitted to the Acute Cardiac Care Unit of a Tertiary Hospital: Does Gender Play a Role?

Cited by 7 publications

References 26 publications

In Hospital Outcomes of Cardiogenic Shock among Patients with Acute Myocardial Infarction

In Hospital Outcomes of Cardiogenic Shock among Patients with Acute Myocardial Infarction

Systems of Care in Cardiogenic Shock

Mechanical Circulatory Support for Myocarditis Complicated by Cardiogenic Shock

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