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Background Despite limited beneficial evidence, mechanical circulatory support (MCS) is commonly used in patients with acute myocardialinfarction-related cardiogenicshock (AMI-CS). In this Dutch registry, we investigated MCS usage, associated patient characteristics and clinical outcomes.
BackgroundPatients with severe mitral regurgitation and cardiogenicshock demonstrate a poor prognosis. The primary outcome was device success and allcause death, while secondary outcomes included myocardialinfarction, stroke, and heart failure hospitalization rates at 30day and intermediateterm followup.
This substudy of the Danish-German (DanGer) Shock randomized clinical trial investigates if the use of a microaxial flow pump reduces the need for pharmacological support and what the effects are on hemodynamics and lactate clearance in patients with ST-elevation myocardialinfarction–induced cardiogenicshock.
Background Cardiogenicshock (CS) induced by severe aortic stenosis (AS) is a life-threatening condition with high mortality. Despite advancements in emergency interventions, the optimal treatment approach remains uncertain. Methods A systematic literature review and meta-analysis was performed.
Organ perfusion pressure as a predictor of outcomes in cardiogenicshock: insights from the Altshock-2 registry. ABSTRACT Aims The diagnosis of cardiogenicshock (CS) relies upon signs and/or symptoms of end-organ hypoperfusion. The primary outcome was in-hospital all-cause mortality.
The DanShock trial (NCT01633502) assessed the efficacy of the Impella CP ventricular assist device in reducing mortality following myocardialinfarction (MI). The post DanGer Shock: Microaxial Flow Pump versus Standard Care in Infarct-Related CardiogenicShock appeared first on Cardiology Update.
Henry Ford Health's National CardiogenicShock Initiative research team. Cardiogenicshock is a critical condition in which the heart is unable to pump enough blood to sustain the body’s needs, depriving vital organs of blood supply. This can cause those organs to eventually stop functioning. In the U.S.,
The goal of the DanGer Shock trial was to compare the safety and efficacy of Impella CP on top of standard care compared with standard care alone among patients with ST-segment elevation myocardialinfarction (STEMI) and cardiogenicshock.
Cardiogenicshock is a common complication in patients who present with acute myocardialinfarction (AMI) and is the leading cause of death in this population. Even with immediate revascularization, death rates remain high.
Cardiogenicshock is a primary cardiac disorder that results in both clinical and biochemical evidence of tissue hypoperfusion and can lead to multi-organ failure and death depending on its severity. Despite some advances in cardiogenicshock management, this clinical syndrome is still burdened by an extremely high mortality.
The goal of the ECLS-SHOCK trial was to evaluate extracorporeal life support (ECLS) compared with control among patients with acute myocardialinfarction (MI) and cardiogenicshock.
Patients with acute myocardialinfarction (AMI) complicated by cardiogenicshock (CS) face high mortality rates. Extracorporeal Membrane Oxygenation (ECMO) therapy offers critical support in these cases, yet i.
BackgroundIn the ICU, patients with acute myocardialinfarction and cardiogenicshock (AMI-CS) often face high mortality rates, making timely and precise mortality risk prediction crucial for clinical decision-making.
Nature Reviews Cardiology, Published online: 23 April 2024; doi:10.1038/s41569-024-01035-9 Data from the DanGer Shock trial demonstrate that implantation of a microaxial flow pump in patients with ST-segment elevation myocardialinfarction complicated by cardiogenicshock increases the survival rate compared with standard care alone.
Predictors of weaning failure from veno-arterial extracorporeal membrane oxygenation (VA-ECMO) in patients with cardiogenicshock. The cause of CS was acute myocardialinfarction in 438 (63.9%) patients, and 431 (62.9%) patients presented with cardiac arrest. RRT, renal replacement therapy. interquartile range 4.112.7]
Although the contemporary shock stages classification provided a standardized shock severity assessment, individual agents or management strategy has not yet been studied in the context of each shock stage. The pre-shock state may comprise a wide range of presentations.
Background Data are lacking on the effects of the alternation of P2Y12 receptor antagonists (P2Y12) on bleeding and outcome in patients with myocardialinfarction (MI) with cardiogenicshock (CS).
This case report describes a unique instance of a patient developing AEF following AF ablation, accompanied by ischemic stroke and myocardialinfarction. Upon admission, physical examination and laboratory tests revealed vital signs within abnormal ranges and indicators suggesting inflammation and potential myocardial injury.
Impella and venoarterial extracorporeal membrane oxygenation (VA-ECMO) in patients with acute myocardialinfarction-related cardiogenicshock (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.
Acute myocardialinfarction–related cardiogenicshock (AMI-CS) is characterized by systemic hypoperfusion due to cardiomyocyte necrosis and ventricular dysfunction.1 2 Prompt reperfusion.
BACKGROUND:In patients with ST-segment–elevation myocardialinfarction complicated by cardiogenicshock, 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
BackgroundAcute myocardialinfarction complicated by cardiogenicshock (AMI‐CS) is associated with significant morbidity and mortality. Journal of the American Heart Association, Volume 12, Issue 23 , December 5, 2023.
Introduction Cardiogenicshock (CS) complicates 5%–15% of cases of acute myocardialinfarction (AMI) with inpatient mortality greater than 40%. The implementation of standardised protocols may improve clinical outcomes in patients with AMI-CS.
Cardiogenicshock (CS)is the most feared event following STEMI. Non-STEMI vs. STEMI CardiogenicShock: Clinical Profile and Long-Term Outcomes. The incidence is up to 5 to 10% with a mortality rate of around 50-60%. Still, we are finding it hard to bring this down below 50 %. Reference 1.Martínez J Clin Med.
Publication date: Available online 23 July 2024 Source: The American Journal of Cardiology Author(s): Kahtan Fadah, Helayna Abraham, Subhash Banerjee, Debabrata Mukherjee
In a seminal case series published in 1967, Killip and Kimball reported 81% in-hospital mortality for patients presenting with acute myocardialinfarction complicated by cardiogenicshock (AMI-CS).
BackgroundThe Society for Cardiovascular Angiography and Interventions proposed a staging system (A–E) to predict prognosis in cardiogenicshock. Patients enrolled in the RECOVER III study were assigned a baseline Society for Cardiovascular Angiography and Interventions shock stage. P<0.001).ConclusionsIn
IntroductionIn developing countries, there is a notable scarcity of real-world data on adherence to optimal medical therapy (OMT) and its correlation with major cardiovascular adverse events (MACEs) after ST-elevation myocardialinfarction (STEMI). Patients were followed up for 4.5 ResultsWe included 349 patients with a mean age of 58.08
BackgroundClinical outcome of ischemic cardiogenicshock (CS) requiring extracorporeal membrane oxygenation is highly variable, necessitating appropriate assessment of prognosis. However, a systemic predictive model estimating the mortality of refractory ischemic CS is lacking.
BackgroundCardiogenic shock carries high mortality. male, 67% acute myocardialinfarction, 33% acute decompensated heart failure), 45 (41.3%), 33 (30.3%), and 31 (28.4%) were in SCAI Shock Stages C, D, and E, respectively. A suggestive trend of improving 30day survival was observed (56.8%, 63.9%, and 72.2%
Abstract Objectives This study aimed to assess the impact of anemia and iron deficiency (ID) on clinical outcome in patients with cardiogenicshock (CS) complicating acute myocardialinfarction (AMI).
Triglyceride-glucose (TyG) index, a dependable indicator of insulin resistance, has been identified as a valid marker regarding multiple cardiovascular diseases. Nevertheless, the correlation of TyG index with.
The International Registry of MitraClip in Acute Mitral Regurgitation following Acute MyocardialInfarction (IREMMI). Methods and results The International Registry of MitraClip in Acute Mitral Regurgitation following Acute MyocardialInfarction (IREMMI) includes 187 patients with severe MR post-MI managed with TEER.
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.
This is a value typical for a large subacute MI, n ormal value 48 hours after myocardialinfarction is associated with Post-Infarction Regional Pericarditis ( PIRP ). PIRP is strongly associated with myocardial rupture. The VSR is what is causing the cardiogenicshock! Heart rate was in the 80s. Hammill SC.
What is the effect of early routine active percutaneous mechanical circulatory support (MCS) versus control treatment on 6-month all-cause mortality in patients with acute myocardialinfarction-related cardiogenicshock (AMICS)?
Publication date: Available online 11 October 2024 Source: The American Journal of Cardiology Author(s): Carlos Diaz-Arocutipa, Norma Nicole Gamarra-Valverde, Rafael Salguero, Roberto Martín-Asenjo, Lourdes Vicent
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 cardiogenicshock, according to a study presented at the American College of Cardiology ’s Annual Scientific Session.
Impella Left Sided Blood Pumps also are used when there is ongoing cardiogenicshock that occurs less than 48 hours after a severe heart attack (acute myocardialinfarction), open-heart surgery, or when the heart is not functioning well due to a condition called cardiomyopathy.
vs 3.9%, p<0.001) and ST-elevation myocardialinfarction (59.1% vs 50.8%, p<0.001) and were more likely to experience postprocedural cardiogenicshock (4.5% At 30 days, mortality, myocardialinfarction, revascularisation and major adverse cardiac and cerebrovascular events did not differ between the groups.
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