Characteristics and Predictors of Mortality in Patients With Cardiovascular Shock in Japan　– Results From the Japanese Circulation Society Cardiovascular Shock Registry –

Prognostic Value of Neurological Status on Hospital Arrival for Short-Term Outcome in Patients With Cardiovascular Shock ― Sub-analysis of the Japanese Circulation Society Cardiovascular Shock Registry ―

“…The JCS is a 1-axis coma scale, published in 1974 and widely used in Japan, 8,9 and consists of 4 categories with each digit code having 3 subcategories (1, 2, and 3 in the 1-digit code; 10, 20, and 30 in the 2-digit code; and 100, 200, and 300 in the 3-digit code). JCS 0 indicates that patients have alert consciousness; JCS 1-digit codes (1)(2)(3) indicate that patients are not fully alert, but awake without any stimuli; JCS 2-digit codes (10-30) indicate that patients are arousable with stimulation; and JCS 3-digit codes (100-300) indicate coma. 10 In the present study, we divided the patients into 4 categories: alert, JCS 0; awake, JCS 1-3; arousable, JCS 10-30; and coma, JCS 100-300.…”

The necessity of conversion from coronary care unit to the cardiovascular intensive care unit required for cardiologists

“…Advanced failing heart and treatments AMI with cardiogenic shock occurs at a rate of 5-7%, the mortality remains high, from higher than 50% before the percutaneous coronary intervention (PCI) era to 40% after PCIera [2,[12][13][14]. If the shock is already prolonged at the time of hospitalization, even if a mechanical circulatory assistance device is deployed and early coronary revascularization is performed, patients die due to multiorgan failure [15].…”

Usefulness of multimodality cardiac imaging in a patient with ST elevation myocardial infarction caused by two giant coronary artery aneurysms

“…Ischaemic heart disease is one of the most common causes of death, and its frequency is increasing worldwide. The mortality of patients with ST elevation myocardial infarction (STEMI) is influenced by many factors, such as advanced age, Killip class and delayed treatment 1–3. Guidelines for the management of STEMI emphasise that a patient with STEMI should be administered reperfusion therapy as soon as possible 1 4.…”