Frontiers in Cardiovascular Medicine

JULY 21, 2024

After a prolonged in-hospital stay, the patient was discharged in stable condition.

Embolism 59

Embolism Cardiogenic Shock Pulmonary Cardiac Arrest 59

Frontiers in Cardiovascular Medicine

JANUARY 15, 2024

Introduction The use of venoarterial extracorporeal membrane oxygenation (VA-ECMO) in extracorporeal cardiopulmonary resuscitation (eCPR) has emerged as a treatment option for selected patients who are experiencing refractory cardiac arrest (CA).

Cardiogenic Shock 64

Cardiogenic Shock Cardiac Arrest BMI Coronary Artery Disease 64

Circulation

NOVEMBER 11, 2024

Multivariate logistic and linear regression analyses were performed, adjusting for multiple patient and hospital confounders. There was a non-significant increased risk of cardiogenic shock (aOR 1.14, 95% CI 0.87 - 1.5, p=0.35) and cardiac arrest (aOR 1.05, 95% CI 0.8 - 1.36, p=0.74) in patients on chronic opioids.

Preserved Ejection Fraction 40

Preserved Ejection Fraction Inpatient Cardiogenic Shock Heart Failure 40

Open Heart

JUNE 5, 2024

Secondary outcomes included in-hospital and 30-day events. SMuRF-less patients were more likely to present with cardiac arrest (6.6% vs 50.8%, p<0.001) and were more likely to experience postprocedural cardiogenic shock (4.5% Methods We analysed data from the Melbourne Interventional Group PCI Registry.

Cardiogenic Shock 52

Cardiogenic Shock Myocardial Infarction Outcomes Coronary Artery Disease 52

Circulation: Heart Failure

MARCH 8, 2024

A secondary analysis evaluated outcomes for severe HF hospitalizations (cardiogenic shock, cardiac arrest, and mechanical ventilation). Centers performing at least 1 heart transplant or left ventricular assist device were classified as ATCs. of centers), 525 037 (18.3%) were admissions to ATCs (5.5%

Heart Failure 40

Heart Failure Cardiogenic Shock Outcomes Cardiac Arrest 40

Circulation: Cardiovascular Quality & Outcomes

JANUARY 5, 2024

This analysis included 17 843 admissions across 34 sites and compared interhospital tertiles of CCRx (eg, mechanical ventilation, mechanical circulatory support, continuous renal replacement therapy) utilization and its adjusted association with in-hospital survival using logistic regression.

Critical Care 40

Critical Care Cardiogenic Shock Academic Cardiac Arrest 40

Dr. Smith's ECG Blog

JUNE 11, 2021

But the lack of traditional Sgarbossa criteria is not reassuring enough for such high pretest probability (elderly patient with chest pain, out of hospital cardiac arrest and LBBB), and the Modified Sgarbossa Criteria confirms Occlusion MI in this case. But by this time the patient went into cardiogenic shock and passed away.

Chest Pain 52

Chest Pain Cardiac Arrest Ischemia Cardiogenic Shock 52

Dr. Smith's ECG Blog

OCTOBER 17, 2024

There was 100% proximal LAD occlusion with TIMI 0 flow, and cardiac arrest in the cath lab. The patient had a protracted hospitalization and did not survive. As often emphasized by Dr. Smith — sinus tachycardia is not a common finding with acute OMI unless something else is going on (ie, cardiogenic shock ).

Chest Pain 73

Chest Pain STEMI Pulmonary Embolism 73

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

An elderly man with sudden cardiogenic shock, diffuse ST depressions, and STE in aVR Literature 1. Thirty-six patients (36%) presented with cardiac arrest, and 78% (28/36) underwent emergent angiography. However, STE-aVR with multilead ST depression was associated with 31% in-hospital mortality compared with only 6.2%

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

EMS 12-Lead

JULY 24, 2023

Had such been the case, this patient would likely have been a prehospital cardiac arrest, or have been in profound cardiogenic shock at the time of ED arrival. The formal diagnosis codes were populated to the chart by the primary hospitalization teams. See Dr. Smith’s comments below.

Angina 52

Angina Ischemia Coronary Angiogram Stenosis 52

CardiacWire

FEBRUARY 7, 2025

The “weekend effect” is a well-documented phenomenon in hospital care, often linked to reduced staffing levels, leading to potential delays in diagnosis and intervention. Weekend procedures also face limited access to specialized cardiac teams, affecting timely decisions and making urgent procedures more difficult to schedule.

TAVR 59

TAVR Cardiogenic Shock Hospital Cardiac Arrest 59

Circulation: Heart Failure

MARCH 5, 2025

BACKGROUND:There are limited large-scale data on the outcomes of patients with cardiogenic shock (CS) transferred to hub centers. Overlap propensity score weighting was performed to assess the association between transfer status and in-hospital mortality. In-hospital mortality was lower in transferred patients39.1%

Cardiogenic Shock 56

Cardiogenic Shock Hospital Outcomes Myocardial Infarction 56

Dr. Smith's ECG Blog

OCTOBER 20, 2024

Figure B At this point, with the ECG changing from diffuse ST depression to widespread ST elevation and the patient presenting in cardiogenic shock, left main coronary artery (LMCA) occlusion is the likely diagnosis. This patient is actively dying from a left main coronary artery OMI and cardiac arrest from VT/VF or PEA is imminent!

Cardiogenic Shock 128

Cardiogenic Shock Ischemia Chest Pain Cardiac Arrest 128

European Journal of Heart Failure

JANUARY 17, 2025

Predictors of weaning failure from veno-arterial extracorporeal membrane oxygenation (VA-ECMO) in patients with cardiogenic shock. The cause of CS was acute myocardial infarction in 438 (63.9%) patients, and 431 (62.9%) patients presented with cardiac arrest. RRT, renal replacement therapy. interquartile range 4.112.7]

Cardiogenic Shock 66

Cardiogenic Shock Cardiac Arrest Myocardial Infarction Hospital 66

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 40

Cardiogenic Shock Myocardial Infarction Cardiac Arrest Cardiovascular Interventions 40

Dr. Smith's ECG Blog

NOVEMBER 12, 2020

Lactate was 20, POC Cardiac US showed EF estimated at 30%, and formal echo showed EF of only 15%, and a normal RV. Assessment was severe sudden cardiogenic shock. 3 studied 416 patients hospitalized with COVID in China, of whom 82 had an initial cTn(I) above the upper reference limit. What is it? There is STE in V2-V6.

Cardiac Arrest 52

Cardiac Arrest COVID-19 Myocardial Infarction Cardiogenic Shock 52

European Journal of Heart Failure

FEBRUARY 5, 2025

Aims Among patients with cardiogenic shock, immediate initiation of extracorporeal membrane oxygenation (ECMO) did not demonstrate any benefit at 30days. The present study evaluated 1-year clinical outcomes of the Extracorporeal Membrane Oxygenation in the therapy of Cardiogenic Shock (ECMO-CS) trial.

Cardiogenic Shock 40

Cardiogenic Shock ICU Outcomes Cardiac Arrest 40

Dr. Smith's ECG Blog

MAY 3, 2024

In fact, most do not make it to the hospital alive, which explains why only a tiny percent of OMI are due to full LM occlusion. Some patients have baseline RBBB with LAFB, but in patients with likely ACS, these are associated with severe infarction with cardiac arrest, cardiogenic shock or impending shock.

Cardiogenic Shock 126

Cardiogenic Shock Cardiac Arrest Hospital Ischemia 126

Journal of the American Heart Association

JANUARY 19, 2024

BackgroundVenoarterial extracorporeal membrane oxygenation (ECMO) provides full hemodynamic support for patients with cardiogenic shock, but optimal timing of ECMO initiation remains uncertain. Multivariable logistic regression evaluated the association between time from admission to ECMO initiation and in‐hospital death.

Cardiogenic Shock 40

Cardiogenic Shock Outcomes Cardiac Arrest Hospital 40

Journal of the American Heart Association

MARCH 21, 2025

BackgroundPatients hospitalized with COVID19 from socioeconomically vulnerable communities are at risk for inhospital cardiovascular events. ConclusionsAmong survivors of COVID19 hospitalization, patientlevel social vulnerability was associated with cardiovascular events, explained by increased comorbidities.

COVID-19 40

COVID-19 Medicare Cardiogenic Shock Hospital 40

Circulation

NOVEMBER 11, 2024

There is limited understanding of race differences in the management and outcomes of CS.Methods:We queried the US National Inpatient Sample database (years 2016-2021) for CS hospitalizations in adults and categorized them by presence of acute myocardial infarction (AMI) on admission. 0.93), pLVAD (aOR: 0.79, 95%CI: 0.72-0.86),

Myocardial Infarction 40

Myocardial Infarction Inpatient Cardiogenic Shock Cardiac Arrest 40

DAIC

APRIL 8, 2024

milla1cf Mon, 04/08/2024 - 18:07 April 8, 2024 — Implantation of the Impella CP micro-axial flow pump in the hours after a heart attack significantly increased the rate of survival at six months among people suffering cardiogenic shock, according to a study presented at the American College of Cardiology ’s Annual Scientific Session.

Heart Attack 52

Heart Attack Heart attacks Cardiogenic Shock Catheterization Laboratory 52

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. The patient was extubated on Day-3 of the hospital stay. The patient improved, and on Day-11 of the hospital stay — he was off inotropes and on a small dose of a ß-blocker.

Arrhythmia 131

Arrhythmia Cardiogenic Shock Bradycardia Defibrillator 131

Circulation: Cardiovascular Interventions

FEBRUARY 20, 2024

Discharging patients with NH-IMRangio&lt;40 units at 48 hours after admission would reduce the total in-hospital stay by 943 days (median 2 [1–4] days per patient).CONCLUSIONS:NH-IMRangiois NH-IMRangioguided strategies to early discharge may contribute to safely shorten hospital stay, optimizing resources utilization.

Myocardial Infarction 40

Myocardial Infarction STEMI Cardiogenic Shock Cardiac Arrest 40

Dr. Smith's ECG Blog

NOVEMBER 11, 2022

This pattern is essentially always accompanied by cardiogenic shock and high rates of VT/VF arrest, etc. The patient arrived to the ED in cardiogenic shock but awake. Plus recommendations from a 5-member panel on cardiac arrest. in-hospital mortality was 18.8% Code STEMI was activated.

Chest Pain 52

Chest Pain Cardiogenic Shock Tachycardia Ischemia 52

European Journal of Heart Failure

FEBRUARY 5, 2025

Risk prediction for cardiogenic shock patients with Impella. Abstract Aims Impella has become a new option for mechanical circulatory support in patients with cardiogenic shock (CS); however, prognostic models for patients after Impella are lacking.

Cardiogenic Shock 40

Cardiogenic Shock Cardiac Arrest BMI Hospital 40

Frontiers in Cardiovascular Medicine

FEBRUARY 3, 2025

BackgroundTraumatic cardiac arrest (TCA) poses significant challenges in resuscitation, with extremely high mortality rates, making it a critical issue in emergency and critical care medicine. The patient experienced cardiac arrest upon admission to a local hospital.

Cardiogenic Shock 52

Cardiogenic Shock Cardiac Arrest Critical Care Hemorrhage 52

Dr. Smith's ECG Blog

APRIL 9, 2025

1) as far as I can tell, there is very little data on amiodarone for this indication 2) amiodarone has beta blockade effects which could be deleterious in a patient with large anterior MI with pulmonary edema and at risk for cardiogenic shock (and she did go into shock. DOI: 10.1016/j.resuscitation.2025.110515

Defibrillator 63

Defibrillator Cardiac Arrest Myocardial Infarction STEMI 63