2021 and Cardiogenic Shock - Cardiovascular Update

Clinical use and impact of mechanical circulatory support for myocardial infarction-related cardiogenic shock in the Netherlands: a registry-based propensity-matched analysis

Open Heart

FEBRUARY 17, 2025

Background Despite limited beneficial evidence, mechanical circulatory support (MCS) is commonly used in patients with acute myocardial infarction-related cardiogenic shock (AMI-CS). In this Dutch registry, we investigated MCS usage, associated patient characteristics and clinical outcomes.

Cardiogenic Shock

Cardiogenic Shock Myocardial Infarction Aortic Outcomes

20-something with huge verapamil overdose and cardiogenic shock

Dr. Smith's ECG Blog

MAY 26, 2023

A 20-something presented after a huge verapamil overdose in cardiogenic shock. Today's patient is a young male who presented in cardiogenic shock following a massive verapamil overdose. He had been seen at an outside institution and been given 6 g calcium gluconate, KCl, and a norepinephrine drip. The initial K was 3.0

Cardiogenic Shock

Cardiogenic Shock Arrhythmia Blog Education

The Weekend Effect Touches TAVR Too

CardiacWire

FEBRUARY 7, 2025

To uncover the weekend effects impact on TAVR , researchers analyzed over 82k TAVR hospitalizations between 2013 and 2021 and revealed that weekend patients faced a 45% higher risk of in-hospital mortality compared to weekday admissions.

TAVR

TAVR Cardiogenic Shock Hospital Cardiac Arrest

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Artificial intelligence-assisted echocardiographic monitoring in pediatric patients on extracorporeal membrane oxygenation

Frontiers in Cardiovascular Medicine

DECEMBER 11, 2024

BackgroundPercutaneous extracorporeal membrane oxygenation (ECMO) is administered to pediatric patients with cardiogenic shock or cardiac arrest. The traditional method uses focal echocardiography to complete the left ventricular measurement.

Pediatrics

Pediatrics Cardiogenic Shock Cardiac Arrest Echocardiogram

Impella and venoarterial extracorporeal membrane oxygenation in cardiogenic shock complicating acute myocardial infarction

European Journal of Heart Failure

DECEMBER 13, 2023

Impella and venoarterial extracorporeal membrane oxygenation (VA-ECMO) in patients with acute myocardial infarction-related cardiogenic shock (AMICS). Methods and results This nationwide observational cohort study describes all AMICS patients treated with Impella (ABIOMED, Danvers, MA, USA) and/or VA-ECMO in 2020–2021.

Cardiogenic Shock

Cardiogenic Shock Myocardial Infarction Cardiac Arrest Hospital

Reperfusion in Patients With ST-Segment–Elevation Myocardial Infarction With Cardiogenic Shock and Prolonged Interhospital Transport Times

Circulation: Cardiovascular Interventions

JANUARY 31, 2024

BACKGROUND:In patients with ST-segment–elevation myocardial infarction complicated by cardiogenic shock, primary percutaneous coronary intervention (pPCI) is the preferred revascularization option. pharmacoinvasive and 46.2% pharmacoinvasive and 46.2% The incidence of the primary safety outcome was 10.1% 1.09];P=0.08).CONCLUSIONS:In

Cardiogenic Shock

Cardiogenic Shock Myocardial Infarction Cardiac Arrest Cardiovascular Interventions

Clinical presentation, shock severity and mortality in patients with de novo versus acute?on?chronic heart failure?related cardiogenic shock

European Journal of Heart Failure

NOVEMBER 23, 2023

Clinical presentation, shock severity and mortality in patients with de novo versus acute-on-chronic heart failure-related cardiogenic shock. ACHF-CS, acute-on-chronic failure-related cardiogenic shock; CI, confidence interval; DNHF-CS, de novo heart failure-related cardiogenic shock; HR, hazard ratio.

Cardiogenic Shock

Cardiogenic Shock Heart Failure Blood Pressure Outcomes

Changing Trends in Mechanical Circulatory Support Use and Outcomes in Patients Undergoing Percutaneous Coronary Interventions for Acute Coronary Syndrome Complicated With Cardiogenic Shock: Insights From a Nationwide Registry in Japan

Journal of the American Heart Association

DECEMBER 1, 2023

in the fourth quarter of 2021 (Pfor trend=0.01). After adjusting for the confounders, the risk difference in the fourth quarter of 2021 relative to the first quarter of 2019 for in‐hospital mortality was not significant (adjusted odds ratio, 0.84 [95% CI, 0.69–1.01]).ConclusionsOur The quarterly prevalence and outcomes were reported.

Cardiogenic Shock

Cardiogenic Shock Outcomes Aortic Hospital

FDA Announces Abiomed Recall of the Instructions for Use for the Impella Left Sided Blood Pumps due to Perforation Risks

DAIC

MARCH 21, 2024

with SmartAssist ; Impella LD Product Codes: See Recall Database Entry Distribution Dates: October 10, 2021 to October 10, 2023 Devices Recalled in the U.S.: Recalled Product US Available Product Names: Impella 2.5; Impella CP; Impella CP with SmartAssist; Impella 5.0;

Cardiogenic Shock

Cardiogenic Shock Open-Heart Surgery Myocardial Infarction Heart Attack

Stress hyperglycemia and poor outcomes in patients with ST-elevation myocardial infarction: a systematic review and meta-analysis

Frontiers in Cardiovascular Medicine

MARCH 10, 2024

1.77), cardiogenic shock (pooled RR 3.68, 95% CI 2.65–5.11), Systematic Review Registration PROSPERO 2021 (CRD42021292985). In subsequent analyses, admission hyperglycemia was associated with an increased risk of reinfarction (pooled RR 1.69, 95% CI 1.31–2.17), 2.17), heart failure (pooled RR 1.56, 95% CI: 1.37–1.77),

Myocardial Infarction

Myocardial Infarction Cardiogenic Shock Article STEMI

What are treatment options for this rhythm, when all else fails?

Dr. Smith's ECG Blog

JULY 21, 2024

The patient in today’s case presented in cardiogenic shock from proximal LAD occlusion, in conjunction with a subtotally stenosed LMCA. LAD — 100% proximal occlusion; with 70-89% mid-vessel narrowing. LCx — 50-69% stenosis of the 1st marginal branch; with 100% distal LCx occlusion. RCA — 100% proximal occlussion.

Arrhythmia

Arrhythmia Cardiogenic Shock Bradycardia Defibrillator

Assessing the Likelihood of Procedural Intubation During Percutaneous Coronary Intervention

Journal of the American Heart Association

JANUARY 16, 2025

This study aims to identify the incidence and predictors for procedural intubation during PCI.Methods and ResultsA retrospective cohort study was performed on patients undergoing PCI between 2014 and 2021 within the Victorian Cardiac Outcomes Registry. Those undergoing semiurgent or elective PCI were presumed to be fasted preprocedurally.

Cardiogenic Shock

Cardiogenic Shock Cardiac Arrest Outcomes

Chest pain and shock: Is there a right ventricular OMI on this ECG? And should he undergo trancutaneous pacing?

Dr. Smith's ECG Blog

MAY 30, 2023

The November 27, 2021 post ( LA-RA reversal ). The February 11, 2020 post ( LA-RA reversal ). The March 18, 2020 post ( LA-RA reversal ). The August 28, 2020 post ( LA-LL reversal ). The November 19, 2020 post ( LA-LL reversal ). The April 17, 2022 post ( Leads V1,V2 misplacement ). The May 24, 2022 post ( LA-LL reversal ).

Chest Pain

Chest Pain Myocardial Infarction STEMI Cardiogenic Shock

I'm so sorry when medics get abused for activating the cath lab

Dr. Smith's ECG Blog

OCTOBER 28, 2022

Annals of Emergency Medicine 2021. He went into cardiogenic shock and is intubated in the cardiac ICU. The location of the infarct is clear, but that does not necessarily tell you what artery it is. Learn about the Smith-Modified Sgarbossa Criteria for Diagnosis of OMI Paced Rhythm: Dodd, Meyers, Smith, et al.

Chest Pain

Chest Pain Myocardial Infarction Pacemaker Cardiogenic Shock

A man in his 70s with acute chest pain and paced rhythm.

Dr. Smith's ECG Blog

MAY 8, 2023

Annals of Emergency Medicine 2021. Impella (cardiac output augmentation device) placed for cardiogenic shock Unfortunately, the patient progressed to multiorgan failure with worsening cardiac output despite being maxed on pressors and a balloon pump. Back to the case: So next the ED physician simply collected serial ECGs.

Chest Pain

Chest Pain Myocardial Infarction STEMI Pacemaker

Published Research

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Institutional Coronary Artery Bypass Case Volumes and Outcomes European Journal of Heart Failure October 2023 Makoto Mori Robotic Mitral Valve Repair for Degenerative Mitral Regurgitation The Annals of Thoracic Surgery August 2023 Carlos Diaz-Castrillion Volume-Failure to Rescue Relationship in Acute Type A Aortic Dissections: An Analysis of The Society (..)

Research

Research Coronary Artery Bypass Graft Aortic valve Congenital

Published Research

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Institutional Coronary Artery Bypass Case Volumes and Outcomes European Journal of Heart Failure October 2023 Makoto Mori 1 Robotic Mitral Valve Repair for Degenerative Mitral Regurgitation The Annals of Thoracic Surgery August 2023 Carlos Diaz-Castrillion 2 Volume-Failure to Rescue Relationship in Acute Type A Aortic Dissections: An Analysis of The (..)

Research

Research Coronary Artery Bypass Graft Aortic valve Congenital

Abstract 4145617: Racial Disparities in Management and Outcomes of Acute Myocardial Infarction and Non-Acute Myocardial Infarction Related Cardiogenic Shock: An Analysis of the National Inpatient Sample Database

Circulation

NOVEMBER 11, 2024

Background:Cardiogenic shock (CS) has high morbidity and mortality rates.

Myocardial Infarction

Myocardial Infarction Inpatient Cardiogenic Shock Cardiac Arrest

Higher vasoactive usage despite hemodynamic goals is associated with higher mortality in acute myocardial infarction-related cardiogenic shock

Frontiers in Cardiovascular Medicine

FEBRUARY 12, 2025

This study investigates the impact of vasoactive drug use and in-hospital outcomes among AMI-CS.Materials and methodsA total of 309 patients who underwent pulmonary artery catheterization between 2006 and 2021 were categorized by the number of vasoactive drugs used (01, 2, or >2). Clinical and 24h hemodynamic data were analyzed.

Myocardial Infarction

Myocardial Infarction Cardiogenic Shock Hospital Pulmonary

The early and mid-term outcomes of acute type A aortic dissection patients with ECMO

Frontiers in Cardiovascular Medicine

DECEMBER 20, 2024

Postcardiotomy cardiogenic shock (PCS) is a severe complication following ATAAD repair that complicates postoperative recovery. BackgroundAcute type A aortic dissection (ATAAD) poses significant challenges in cardiovascular management due to its high morbidity and mortality rates.

Cardiogenic Shock

Cardiogenic Shock Aortic Outcomes Quality of Life

Clinical use and impact of mechanical circulatory support for myocardial infarction-related cardiogenic shock in the Netherlands: a registry-based propensity-matched analysis

20-something with huge verapamil overdose and cardiogenic shock

The Weekend Effect Touches TAVR Too

Webinars

Artificial intelligence-assisted echocardiographic monitoring in pediatric patients on extracorporeal membrane oxygenation

Impella and venoarterial extracorporeal membrane oxygenation in cardiogenic shock complicating acute myocardial infarction

Reperfusion in Patients With ST-Segment–Elevation Myocardial Infarction With Cardiogenic Shock and Prolonged Interhospital Transport Times

Clinical presentation, shock severity and mortality in patients with de novo versus acute?on?chronic heart failure?related cardiogenic shock

Changing Trends in Mechanical Circulatory Support Use and Outcomes in Patients Undergoing Percutaneous Coronary Interventions for Acute Coronary Syndrome Complicated With Cardiogenic Shock: Insights From a Nationwide Registry in Japan

FDA Announces Abiomed Recall of the Instructions for Use for the Impella Left Sided Blood Pumps due to Perforation Risks

Stress hyperglycemia and poor outcomes in patients with ST-elevation myocardial infarction: a systematic review and meta-analysis

What are treatment options for this rhythm, when all else fails?

Assessing the Likelihood of Procedural Intubation During Percutaneous Coronary Intervention

Chest pain and shock: Is there a right ventricular OMI on this ECG? And should he undergo trancutaneous pacing?

I'm so sorry when medics get abused for activating the cath lab

A man in his 70s with acute chest pain and paced rhythm.

Published Research

Published Research

Abstract 4145617: Racial Disparities in Management and Outcomes of Acute Myocardial Infarction and Non-Acute Myocardial Infarction Related Cardiogenic Shock: An Analysis of the National Inpatient Sample Database

Higher vasoactive usage despite hemodynamic goals is associated with higher mortality in acute myocardial infarction-related cardiogenic shock

The early and mid-term outcomes of acute type A aortic dissection patients with ECMO

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