Mortality of patients with ST-segment elevation myocardial infarction and cardiogenic shock treated by PCI is correlated to the infarct-related artery – Results from the PL-ACS Registry

Using extracorporeal membrane oxygenation to rescue acute myocardial infarction with cardiopulmonary collapse: The impact of early coronary revascularization

“…Mortality of acute myocardial infarction (AMI) with cardiopulmonary collapse remains high even in this era of advanced interventional cardiology [1,2]. Ischemic pumping failure can be reversed only by restoring the blood flow in the occluded coronary arteries expeditiously.…”

“…Mechanical circulatory supports (MCS) such as the intra-aortic balloon pump (IABP), extracorporeal membrane oxygenation (ECMO), and percutaneous ventricular assist device provide a temporary solution to this problem [3]. Early revascularization with ad hoc percutaneous coronary intervention (PCI) under IABP support is the commonest strategy to treat AMI with cardiogenic shock (CS), with a 30-day mortality around 30-50% [2,4,5]. A more effective MCS is often necessary if the systemic hypoperfusion persists after 30 min of IABP [6].…”

Extracorporeal life support in the multidisciplinary management of cardiogenic shock complicating acute myocardial infarction

“…Although not statistically significant, nonsurvivors exhibited in our series a trend towards higher incidence of left main trunk disease. Trzeciak et al found higher in‐hospital mortality in patients with left main trunk culprit lesion probably due to a larger infarct territory …”

“…Trzeciak et al found higher in-hospital mortality in patients with left main trunk culprit lesion probably due to a larger infarct territory. 30 Owing to these results and considerations, ECLS should be considered as a therapeutic option in the management of refractory cardiogenic shock due to AMI. Other types of short-term mechanical circulatory support could also be implemented in this specific setting.…”

Predictive value of the baseline electrocardiogram ST‐segment pattern in cardiogenic shock: Results from the CardShock Study

“…Within the STE group, the patients with inferior STE had the lowest mortality in CS, as reported previously in ACS (Haim et al, ; Thanavaro et al, ) but not in CS (White et al, ). The better prognosis of an inferior STE probably relates to the culprit artery being the right coronary artery, which has been associated with better survival in CS (Trzeciak et al, ; Wong et al, ).…”