Circulation: Cardiovascular Quality & Outcomes

JANUARY 5, 2024

Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. 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.

Critical Care 40

Critical Care Cardiogenic Shock Academic Cardiac Arrest 40

Dr. Smith's ECG Blog

NOVEMBER 23, 2022

About an hour later, he was then found on the floor in cardiac arrest in the ED. He underwent CPR and then was shocked out of VF. He was in cardiogenic shock requiring an impella for several days after cath. His initial troponin T was 15 ng/L (only two hours since pain onset). No further troponins were measured.

Chest Pain 52

Chest Pain Cardiac Arrest Cardiogenic Shock Heart Attack 52

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. As a result — cardiac cath was not performed — since results of a cath would not have altered the unfortunate outcome.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

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.

Cardiogenic Shock 56

Cardiogenic Shock Hospital Outcomes Myocardial Infarction 56

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

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. The incidence of the primary safety outcome was 10.1% pharmacoinvasive and 46.2% pharmacoinvasive and 46.2% 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. Association of Cardiac Injury With Mortality in Hospitalized Patients With COVID-19 in Wuhan, China. They recorded an EC G: New ST Elevation. What is it?

Cardiac Arrest 52

Cardiac Arrest COVID-19 Myocardial Infarction Cardiogenic Shock 52

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. Among 8619 patients (median, 56.7 women), the median duration from admission to ECMO initiation was 14 (5–32) hours. 1.36];P=0.004).

Cardiogenic Shock 40

Cardiogenic Shock Outcomes Cardiac Arrest Hospital 40

Journal of the American Heart Association

FEBRUARY 14, 2025

BackgroundMultidisciplinary teams and regionalized care systems have been suggested to improve cardiogenic shock (CS) outcomes. Journal of the American Heart Association, Ahead of Print. Methods and ResultsConsecutive patients with CS were evaluated (N=1162).

Cardiogenic Shock 40

Cardiogenic Shock Heart Failure Cardiac Arrest Outcomes 40

Journal of the American Heart Association

MARCH 21, 2025

However, the association of socioeconomic vulnerability and outcomes after hospitalization is uncertain.Methods and ResultsAmerican Heart Association COVID19 Cardiovascular Disease Registry hospitalizations between March 1, 2020, and June 30, 2022, linked with Medicare feeforservice claims, were analyzed.

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COVID-19 Medicare Cardiogenic Shock Hospital 40

Circulation

NOVEMBER 11, 2024

Background:Cardiogenic shock (CS) has high morbidity and mortality rates. Regardless of CS type, Black patients were more likely to have cardiac arrest during hospitalization. Circulation, Volume 150, Issue Suppl_1 , Page A4145617-A4145617, November 12, 2024. 0.93), pLVAD (aOR: 0.79, 95%CI: 0.72-0.86),

Myocardial Infarction 40

Myocardial Infarction Inpatient Cardiogenic Shock Cardiac Arrest 40

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). The average age of the patients was 65.23 ± 12.66 years, The median AG levels were 7.60 mmol/L mmol/L (interquartile range: 6.30–10.20).

Chest Pain 52

Chest Pain Cardiogenic Shock Cardiac Arrest Myocardial Infarction 52

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.

Cardiogenic Shock 40

Cardiogenic Shock Cardiac Arrest Outcomes 40

Dr. Smith's ECG Blog

OCTOBER 8, 2023

ECG#1 ECG#2 ECG#3 ECG#4 ECG#5 See outcomes of all 5 below, with the Queen of Hearts AI Bot interpretation. The patient died of cardiogenic shock within 24 hours despite mechanical circulatory support. Smith: This bizarre ECG looks like a post cardiac arrest ECG with probable acidosis or hyperkalemia in addition to OMI.

Ischemia 122

Ischemia Chest Pain Cardiogenic Shock Cardiac Arrest 122

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 6, 2025

They felt that the asystolic arrest suggested a different etiology of cardiac arrest. With the severe acidosis and absence of ST elevation, they felt there was more likely to be a non-cardiac etiology of his presentation. Assessment : Cardiology thought this was cardiogenic shock from RV dysfunction.

Blood Pressure 111

Blood Pressure Cardiogenic Shock Ischemia Cardiac Arrest 111

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. Smida T et al. DOI: 10.1016/j.resuscitation.2025.110515

Defibrillator 63

Defibrillator Cardiac Arrest Myocardial Infarction STEMI 63