Circulation

FEBRUARY 26, 2024

Cardiogenic shock continues to portend poor outcomes, conferring short-term mortality rates of 30% to 50% despite recent scientific advances. Age is a nonmodifiable risk factor for mortality in patients with cardiogenic shock and is often considered in the decision-making process for eligibility for various therapies.

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Cardiogenic Shock Best Practices Heart Transplant Transplant 74

Circulation

JANUARY 20, 2025

Advances in critical care therapies for patients with cardiogenic shock (CS), including temporary mechanical circulatory support and multidisciplinary shock teams, have led to improved survival to hospital discharge, ranging from 60% to 70%. Circulation, Volume 151, Issue 3 , Page 257-271, January 21, 2025.

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Cardiogenic Shock Quality of Life Critical Care Hospital 58

The New England Journal of Medicine

MARCH 13, 2024

A 55-year-old man had an out-of-hospital cardiac arrest. An evaluation showed 2-mm ST-segment elevations in the inferior leads on electrocardiography, cardiogenic shock, and a new systolic murmur. A diagnosis was made.

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Cardiogenic Shock Cardiac Arrest Hospital 67

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

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Cardiogenic Shock Arrhythmia Blog Education 98

The American Journal of Cardiology

JANUARY 25, 2025

Publication date: Available online 24 January 2025 Source: The American Journal of Cardiology Author(s): Eric J. Hall, Colby R. Ayers, Nicholas S. Hendren, Christopher Clark, Amit Saha, Hadi Beaini, Isabella L. Alexander, Evan P. Gee, Ian R. McConnell, Emily S. Samson, Roslyn J. Saplicki, Christopher S. Grubb, Grant Tucker, Justin L.

Cardiogenic Shock 40

Cardiogenic Shock Hospital Outcomes 40

Becker's Hospital Review - Cardiology

DECEMBER 4, 2024

Baylor Scott & White The Heart Hospital-Plano in Texas cut times of cardiogenic shock diagnosis in half after implementing a quality improvement project that included nurse education and an electronic shock team alert, according to a study published Dec. 1 in Critical Care Nurse.

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Cardiogenic Shock Nursing Education Critical Care 52

HCPLive

JANUARY 14, 2025

AHN's specialized Shock Team at Allegheny General Hospital works to fight against cardiogenic shock.

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Cardiogenic Shock Hospital 52

Journal of the American Heart Association

JANUARY 19, 2024

BackgroundVenoarterial extracorporeal membrane oxygenation (VA‐ECMO) is increasingly used for patients with cardiogenic shock. In‐hospital mortality was higher with ECMO with Impella (54.8%) compared with ECMO only (50.4%) and ECMO with IABP (48.4%). P=0.002), higher in‐hospital mortality (aOR, 1.32;P=0.001),

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Cardiogenic Shock Aortic Hospital Outcomes 65

DAIC

DECEMBER 18, 2024

with SmartAssist and Impella CP with SmartAssist heart pumps, granting premarket approval (PMA) for use in specific pediatric patients with symptomatic acute decompensated heart failure (ADHF) and cardiogenic shock. and Impella CP, both left-sided heart pumps, for pediatric patients with symptomatic ADHF and cardiogenic shock.

Pediatrics 52

Pediatrics Cardiogenic Shock Heart Failure Quality of Life 52

Journal of the American Heart Association

FEBRUARY 16, 2024

BackgroundClinical outcome of ischemic cardiogenic shock (CS) requiring extracorporeal membrane oxygenation is highly variable, necessitating appropriate assessment of prognosis. Fifteen parameters were selected to assess in‐hospital mortality. RegistrationURL:[link] Unique identifier: NCT02985008.

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Cardiogenic Shock Hospital Myocardial Infarction Kidney Disease 45

Medical Xpress - Cardiology

MAY 2, 2024

A nationwide observational analysis of patients with aortic stenosis (AS) and cardiogenic shock (CS) who underwent transcatheter aortic valve replacement (TAVR) or surgical aortic valve replacement (SAVR) determined that patients who underwent TAVR had lower in-hospital complications and resource utilization compared with SAVR.

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Cardiogenic Shock TAVR Stenosis Aortic valve 40

Medical Xpress - Cardiology

DECEMBER 2, 2024

A cardiovascular specialty hospital in north Texas decreased time to diagnosis for patients with cardiogenic shock by more than half, according to a study published in Critical Care Nurse.

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Cardiogenic Shock Critical Care Nursing Hospital 40

JAMA Cardiology

OCTOBER 26, 2024

In a seminal case series published in 1967, Killip and Kimball reported 81% in-hospital mortality for patients presenting with acute myocardial infarction complicated by cardiogenic shock (AMI-CS).

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Cardiogenic Shock Myocardial Infarction Heart Failure Hospital 40

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. The primary end point was in‐hospital mortality. Survival rates to hospital discharge were high. A total of 406 patients were enrolled at 80 sites between 2016 and 2020.

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Cardiogenic Shock Myocardial Infarction Blood Pressure Cardiac Arrest 40

Frontiers in Cardiovascular Medicine

FEBRUARY 24, 2025

Despite initiating thrombolysis for cerebral infarction and supportive treatments for heart failure, including VA-ECMO, the patient's condition continued to decline, evidenced by cardiogenic shock, heart failure, and progressive neurological deficits including coma and dilated non-reactive pupils.

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Atrial Fibrillation Ablation Cardiogenic Shock Myocardial Infarction 52

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 52

Pediatrics Cardiogenic Shock Cardiac Arrest Echocardiogram 52

Dr. Smith's ECG Blog

FEBRUARY 16, 2020

A previously healthy 53 yo woman was transferred to a receiving hospital in cardiogenic shock. Referring to Figure-1 — this 53-year old woman who presented in extremis with cardiogenic shock and an initial pH = 6.9, This was sent by a reader. and K was normal. Here was the ECG: There is sinus tachycardia.

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Cardiogenic Shock STEMI Pericarditis Blog 52

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).

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Cardiogenic Shock Myocardial Infarction Cardiac Arrest Hospital 40

European Journal of Heart Failure

DECEMBER 11, 2024

Abstract Worldwide, valvular heart disease (VHD) is a common cause of hospitalization for acute heart failure. In acute heart failure caused by VHD, symptoms result from rapid haemodynamic changes and subsequent decline in cardiac function, and if left untreated, leads to acute decompensation and cardiogenic shock.

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Cardiogenic Shock Heart Disease Heart Failure Bicuspid/Mitral 68

Journal of the American Heart Association

DECEMBER 1, 2023

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 Journal of the American Heart Association, Volume 12, Issue 23 , December 5, 2023.

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Cardiogenic Shock Outcomes Aortic Hospital 40

Frontiers in Cardiovascular Medicine

JULY 21, 2024

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

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Embolism Cardiogenic Shock Pulmonary Cardiac Arrest 59

DAIC

JULY 29, 2024

FDA for two clinical indications: high-risk percutaneous coronary intervention (HR-PCI) and cardiogenic shock (CS). The results were presented at the 2023 Transcatheter Cardiovascular Therapeutics (TCT) conference in San Francisco by Dr. Perwaiz Meraj of North Shore University Hospital. Magenta completed a U.S.

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Cardiogenic Shock Blood Pressure Technology Aortic valve 105

Dr. Smith's ECG Blog

SEPTEMBER 5, 2024

She presented to an outside hospital after several days of malaise and feeling unwell. The VSR is what is causing the cardiogenic shock! Application to Today's Case: Today's patient developed ventricular septal rupture the evening after she was admitted to the hospital. Heart rate was in the 80s.

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Cardiogenic Shock Chest Pain Pericarditis Myocardial Infarction 109

The American Journal of Cardiology

APRIL 6, 2024

Publication date: Available online 5 April 2024 Source: The American Journal of Cardiology Author(s): Amit Saha, Shuang Li, James A. de Lemos, Ambarish Pandey, Deepak L. Bhatt, Gregg C. Fonarow, Brahmajee K. Nallamothu, Tracy Y.MHS WangMSc, Ann Marie Navar, Eric Peterson, Roland A. Matsouaka, Anthony A. Bavry, Sandeep R. Das, Justin L.

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Cardiogenic Shock Myocardial Infarction Hospital 40

Frontiers in Cardiovascular Medicine

JANUARY 10, 2024

Introduction The use of venoarterial extracorporeal membrane oxygenation (VA-ECMO) in extracorporeal cardiopulmonary resuscitation (ECPR) in selected patients after out-of-hospital cardiac arrest (OHCA) is an established method if return of spontaneous circulation cannot be achieved.

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Cardiac Arrest Cardiogenic Shock Hospital Arrhythmia 59

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.

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Cardiac Arrest Cardiogenic Shock Hospital Myocardial Infarction 45

Frontiers in Cardiovascular Medicine

JANUARY 15, 2024

We evaluated the prognostic influence of gender in patients presenting with out-of-hospital cardiac arrest (OHCA) treated with eCPR. The primary outcome was defined as the survival of patients until they were discharged from the hospital, with a favourable neurological outcome [cerebral performance category (CPC) score of ≤2].

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Cardiogenic Shock Cardiac Arrest BMI Coronary Artery Disease 64

European Journal of Heart Failure

JANUARY 14, 2025

PMR patients were more likely to present in cardiogenic shock (91% vs. 51%, p =0.001), require mechanical circulatory support (74% vs. 34%, p =0.01), and had a higher EuroSCORE II (2313% vs. 1311%, p =0.011). Aetiology of MR, cardiogenic shock, and procedure timing significantly impacted in-hospital mortality.

Myocardial Infarction 40

Myocardial Infarction Bicuspid/Mitral Cardiogenic Shock Risk Factors 40

European Journal of Heart Failure

MARCH 19, 2025

New VAs during AHF have previously identified patients with higher in-hospital and 60-day morbidity and mortality. The characteristics and logistics of pre-hospital emergency medicine, as well as the density of centres capable of treating AHF and VAs, differ massively throughout Europe.

Heart Failure 40

Heart Failure Cardiogenic Shock Arrhythmia Heart Rhythm 40

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, Opioid use was also associated with longer hospital stay (adjusted MD [aMD] 1.07

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Preserved Ejection Fraction Inpatient Cardiogenic Shock Heart Failure 40

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%

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Heart Failure Cardiogenic Shock Outcomes Cardiac Arrest 40

Open Heart

JUNE 5, 2024

Secondary outcomes included in-hospital and 30-day events. 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. Patients with coronary artery disease were excluded. The primary outcome was 30-day mortality.

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Cardiogenic Shock Myocardial Infarction Outcomes Coronary Artery Disease 52

The British Journal of Cardiology

APRIL 16, 2024

Post-procedural data included average length of in-hospital stay, intra-hospital morbidity and mortality, and mortality or admission with ACS 12–36 months after the index procedure. A total of 567 patients underwent coronary catheterisation for the three-year period between January 2018 and December 2020.

Outcomes 40

Outcomes Cardiogenic Shock Angina STEMI 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

NOVEMBER 19, 2016

Author continued : STE in aVR is often due to left main coronary artery obstruction (OR 4.72), and is associated with in-hospital cardiovascular mortality (OR 5.58). Authors' commentary: Cardiogenic shock in the setting of severe aortic stenosis. Fundamentally, cardiogenic shock is an issue of decreased cardiac output.

Ischemia 40

Ischemia Cardiogenic Shock Aortic Stenosis 40

The Beat Blog

APRIL 8, 2022

For the sickest of cardiac patients, those who are leaving the hospital with advanced heart failure or who just had a heart attack, Virtual-First cardiology enables frequent virtual visits driven by AI-driven algorithms which identify the most pressing risks.

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Cardiogenic Shock Blood Pressure Heart Attack Heart attacks 52

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.

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Chest Pain Cardiac Arrest Ischemia Cardiogenic Shock 52