Cardiac Arrest, Cardiogenic Shock and Myocardial Infarction

Cardiac Arrest

Cardiogenic Shock

Myocardial Infarction

Early Utilization of Mechanical Circulatory Support in Acute Myocardial Infarction Complicated by Cardiogenic Shock: The National Cardiogenic Shock Initiative

Journal of the American Heart Association

NOVEMBER 28, 2023

BackgroundAcute myocardial infarction complicated by cardiogenic shock (AMI‐CS) is associated with significant morbidity and mortality. mmol/L and cardiac power output was 0.67±0.29 watts. Journal of the American Heart Association, Volume 12, Issue 23 , December 5, 2023.

Cardiogenic Shock

Cardiogenic Shock Myocardial Infarction Blood Pressure Cardiac Arrest

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). Impella patients were older (34% vs. 13% >75 years, p < 0.001) and less frequently presented after an out-of-hospital cardiac arrest (18% vs. 40%, p < 0.001).

Cardiogenic Shock

Cardiogenic Shock Myocardial Infarction Cardiac Arrest Hospital

Hemodynamic Characteristics and Prognostic Implication of Modified Society for Cardiovascular Angiography and Interventions Shock Classification in Comatose Patients With Out‐of‐Hospital Cardiac Arrest

Journal of the American Heart Association

DECEMBER 20, 2024

BackgroundCardiogenic shock complicating acute myocardial infarction is associated with a high mortality rate. Cardiogenic shock after outofhospital cardiac arrest (OHCA) can be due to transient myocardial stunning but also reflect the increasing severity of ongoing heart failure.

Cardiac Arrest

Cardiac Arrest Cardiogenic Shock Hospital Myocardial Infarction

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How terrible can it be to fail to recognize OMI? To whom is OMI Obvious or Not Obvious?

Dr. Smith's ECG Blog

OCTOBER 8, 2024

About 45 minutes after the second EKG, the patient was found in cardiac arrest. A temporary pacemaker was implanted, and she was admitted to the ICU with cardiogenic shock. Later the next day, she went into cardiac arrest again. By the time I saw the repeat EKG, the patient was already in cardiac arrest.

Cardiac Arrest

Cardiac Arrest Myocardial Infarction STEMI Cardiogenic Shock

Prevalence and outcomes of patients with SMuRF-less acute coronary syndrome undergoing percutaneous coronary intervention

Open Heart

JUNE 5, 2024

SMuRF-less patients were more likely to present with cardiac arrest (6.6% vs 3.9%, p<0.001) and ST-elevation myocardial infarction (59.1% vs 50.8%, p<0.001) and were more likely to experience postprocedural cardiogenic shock (4.5% vs 3.6%, p=0.019) and arrhythmia (11.2% vs 9.9%, p=0.029).

Cardiogenic Shock

Cardiogenic Shock Myocardial Infarction Outcomes Coronary Artery Disease

Interhospital Variation in Admissions Managed With Critical Care Therapies or Invasive Hemodynamic Monitoring in Tertiary Cardiac Intensive Care Units: An Analysis From the Critical Care Cardiology Trials Network Registry

Circulation: Cardiovascular Quality & Outcomes

JANUARY 5, 2024

Admissions to CICUs with the highest tertile of CCRx utilization had a greater burden of comorbidities, had more diagnoses of ST–elevation myocardial infarction, cardiac arrest, or cardiogenic shock, and had higher Sequential Organ Failure Assessment scores. 87.1%) of CICU patients.

Critical Care

Critical Care Cardiogenic Shock Academic Cardiac Arrest

90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

New insights into the use of the 12-lead electrocardiogram for diagnosing acute myocardial infarction in the emergency department. An elderly man with sudden cardiogenic shock, diffuse ST depressions, and STE in aVR Literature 1. 2 cases of Aortic Stenosis: Diffuse Subendocardial Ischemia on the ECG. Left main?

Ischemia

Ischemia STEMI Stenosis Chest Pain

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% pharmacoinvasive and 46.2% in the pharmacoinvasive arm versus 18.7%

Cardiogenic Shock

Cardiogenic Shock Myocardial Infarction Cardiac Arrest Cardiovascular Interventions

Transfer to Hub Hospitals and Outcomes in Cardiogenic Shock

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. This was consistent across subgroups of CS cause, age, sex, hospital location, mechanical circulatory support use, and presence of cardiac arrest. Circulation: Heart Failure, Ahead of Print.

Cardiogenic Shock

Cardiogenic Shock Hospital Outcomes Myocardial Infarction

Incidence and predictors of weaning failure from veno‐arterial extracorporeal membrane oxygenation therapy in patients with cardiogenic shock

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.

Cardiogenic Shock

Cardiogenic Shock Cardiac Arrest Myocardial Infarction Hospital

Extreme shock and cardiac arrest in COVID patient

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. In normal times, the most common use of cTni is in diagnosing, or ruling out, acute myocardial infarction (AMI, a subcategory of acute myocardial injury.

Cardiac Arrest

Cardiac Arrest COVID-19 Myocardial Infarction Cardiogenic Shock

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

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.

Myocardial Infarction

Myocardial Infarction Inpatient Cardiogenic Shock Cardiac Arrest

Impact of admission glucose and 30-day major adverse cardiovascular events on patients with chest pain in an emergency setting: insights from the China EMPACT registry

Frontiers in Cardiovascular Medicine

OCTOBER 8, 2024

The primary outcome was 30-day MACE, including all-cause death, recurrent myocardial infarction, urgent target vessel revascularization, stroke, cardiogenic shock, and cardiac arrest (CA).

Chest Pain

Chest Pain Cardiogenic Shock Cardiac Arrest Myocardial Infarction

Angiography-Derived Index of Microcirculatory Resistance to Define the Risk of Early Discharge in STEMI

Circulation: Cardiovascular Interventions

FEBRUARY 20, 2024

BACKGROUND:Patients with ST-segment–elevation myocardial infarction but no coronary microvascular injury are at low risk of early cardiovascular complications (ECC). CONCLUSIONS:NH-IMRangiois a valuable risk-stratification tool in patients with ST-segment–elevation myocardial infarction.

Myocardial Infarction

Myocardial Infarction STEMI Cardiogenic Shock Cardiac Arrest

Social Vulnerability and Long‐Term Cardiovascular Outcomes After COVID‐19 Hospitalization: An Analysis of the American Heart Association COVID‐19 Registry Linked With Medicare Claims Data

Journal of the American Heart Association

MARCH 21, 2025

We evaluated the association between social vulnerability and a composite of myocardial infarction, stroke, heart failure, venous thromboembolism, cardiogenic shock, cardiac arrest, and death, following discharge, using Cox regression models.

COVID-19

COVID-19 Medicare Cardiogenic Shock Hospital

Heart Pump Improves Survival After Severe Heart Attacks

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 attacks

Heart attacks Heart Attack Cardiogenic Shock Catheterization Laboratory

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. Troponin T peaked at 38,398 ng/L ( = a very large myocardial infarction, but not massive-- thanks to the pre-PCI spontaneous reperfusion, and rapid internvention!! ).

Arrhythmia

Arrhythmia Cardiogenic Shock Bradycardia Defibrillator

An elderly woman with acute vomiting, presyncope, and hypotension, and a wide QRS complex

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. This one of the highest risk OMI patterns possible to see on an ECG.

Chest Pain

Chest Pain Cardiogenic Shock Tachycardia Ischemia

The impact of the COVID-19 pandemic on ST-segment elevation myocardial infarction treatment strategy and outcomes

Frontiers in Cardiovascular Medicine

APRIL 15, 2025

We also observed an increase in in-hospital mortality (7.85% vs. 14.09%, p=0.033) and incidence of cardiogenic shock/cardiac arrest (16.62% vs. 26.85%, p=0.009). vs. median 5h; IQR 2.024.0, p=0.011) and time from admission to wire crossing (median 92min; IQR 65.0187.0 vs. median 115.0; IQR 73.0233.0,

COVID-19

COVID-19 Cardiogenic Shock Myocardial Infarction Cardiac Arrest

Anterior OMI with RBBB has VF x 3: how to prevent further episodes of VF?

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

Defibrillator Cardiac Arrest Myocardial Infarction STEMI

Cardiovascular Update

Early Utilization of Mechanical Circulatory Support in Acute Myocardial Infarction Complicated by Cardiogenic Shock: The National Cardiogenic Shock Initiative

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

Hemodynamic Characteristics and Prognostic Implication of Modified Society for Cardiovascular Angiography and Interventions Shock Classification in Comatose Patients With Out‐of‐Hospital Cardiac Arrest

Webinars

How terrible can it be to fail to recognize OMI? To whom is OMI Obvious or Not Obvious?

Prevalence and outcomes of patients with SMuRF-less acute coronary syndrome undergoing percutaneous coronary intervention

Interhospital Variation in Admissions Managed With Critical Care Therapies or Invasive Hemodynamic Monitoring in Tertiary Cardiac Intensive Care Units: An Analysis From the Critical Care Cardiology Trials Network Registry

90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?

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

Transfer to Hub Hospitals and Outcomes in Cardiogenic Shock

Incidence and predictors of weaning failure from veno‐arterial extracorporeal membrane oxygenation therapy in patients with cardiogenic shock

Extreme shock and cardiac arrest in COVID patient

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

Impact of admission glucose and 30-day major adverse cardiovascular events on patients with chest pain in an emergency setting: insights from the China EMPACT registry

Angiography-Derived Index of Microcirculatory Resistance to Define the Risk of Early Discharge in STEMI

Social Vulnerability and Long‐Term Cardiovascular Outcomes After COVID‐19 Hospitalization: An Analysis of the American Heart Association COVID‐19 Registry Linked With Medicare Claims Data

Heart Pump Improves Survival After Severe Heart Attacks

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

An elderly woman with acute vomiting, presyncope, and hypotension, and a wide QRS complex

The impact of the COVID-19 pandemic on ST-segment elevation myocardial infarction treatment strategy and outcomes

Anterior OMI with RBBB has VF x 3: how to prevent further episodes of VF?

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