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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.
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.
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.
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.
Patients at each shock stage may behave and present differently with a spectrum of shock severity and adverse outcomes. Shock severity, shock aetiology, and several factors should be integrated in management decision-making. 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). Conclusion Our results suggest that the choice of P2Y12 was not associated with treatment outcome.
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.
BACKGROUND:In patients with ST-segment–elevation myocardialinfarction complicated by cardiogenicshock, 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%
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. Outcome There are differing data about prognosis of CS in STEMI vs NSTEMI. Ironically, in many patients of CS in NSTEMI, the outcome can be worse than STEMI, as there is no single culprit and myocardial salvage does not appear to be a primary issue.
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
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). Nevertheless, data concerning the impact of anemia and ID on clinical outcome in patients with CS are scarce.
Background Hyperglycemia, characterized by elevated blood glucose levels, is frequently observed in patients with acute coronary syndrome, including ST-elevation myocardialinfarction (STEMI). There are conflicting sources regarding the relationship between hyperglycemia and outcomes in STEMI patients. 3.45) and 4.47 (95% CI: 2.54–7.87),
BackgroundClinical outcome of ischemic cardiogenicshock (CS) requiring extracorporeal membrane oxygenation is highly variable, necessitating appropriate assessment of prognosis. Journal of the American Heart Association, Ahead of Print. Fifteen parameters were selected to assess in‐hospital mortality.
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%
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.
We aimed to investigate the prevalence and outcomes of patients with SMuRF-less ACS undergoing percutaneous coronary intervention (PCI) compared with those with SMuRFs. The primary outcome was 30-day mortality. Secondary outcomes included in-hospital and 30-day events. Patients with coronary artery disease were excluded.
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
This year’s theme, “Advancing Cardiovascular Care for All” brings the latest practice-changing breakthroughs, along with top experts debating and discussing outcomes of highly-anticipated clinical trials. 24 from April 6 - 8, 2024 in Atlanta, GA at the Georgia World Congress Center.
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.
INTRODUCTION:Percutaneous coronary intervention for complex coronary disease is associated with a high risk of cardiogenicshock. Cardiogenicshock and acute ST-segment–elevation myocardialinfarction are exclusions. Circulation: Cardiovascular Interventions, Ahead of Print.
The primary outcome was 30-day MACE, including all-cause death, recurrent myocardialinfarction, urgent target vessel revascularization, stroke, cardiogenicshock, 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).
As a low-volume PCI centre in the Middle East, we wanted to find out if the outcomes of our PCI procedures are different from those of high-volume PCI centres in the UK and the Western world. Prospectively collected data of all comers for PCI (urgent and elective) were retrospectively analysed. and the average number of stents 2.6.
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 myocardialinfarction, cardiac arrest, or cardiogenicshock, and had higher Sequential Organ Failure Assessment scores.
Diagnosis of Acute MyocardialInfarction in the Presence of Left Bundle Branch Block using the ST Elevation to S-Wave Ratio in a Modified Sgarbossa Rule. Electrocardiographic Diagnosis of Acute Coronary Occlusion MyocardialInfarction in Ventricular Paced Rhythm Using the Modified Sgarbossa Criteria.
The notes now refer to the patient being in cardiogenicshock, on pressors. hours from presentation, where he was found to have an acute thrombotic LAD occlusion which was stented with resulting TIMI 3 flow, but still the patient was in severe cardiogenicshock. Time = 3 hours: the next troponin returns at 60 ng/L.
Literature cited In inferior myocardialinfarction, neither ST elevation in lead V1 nor ST depression in lead I are reliable findings for the diagnosis of right ventricular infarction Johanna E. Such an escape would have a wider complex. Bischof , Christine I. Worrall , Stephen W. J Cardiol [Internet]. 2009;54:386–393.
such Q-waves are associated with larger MI and worse outcomes (2. So this patient likely has a several day old infarction, with persistent ST elevation and persistently upright T-waves. ng/ml and was falling, confirming infarction days ago. Very unlikely. Raitt et al.), Armstrong et al.), The initial troponin I was 23.7
At the bottom of the post, I have re-printed the section on aVR in my article on the ECG in ACS from the Canadian Journal of Cardiology: New Insights Into the Use of the 12-Lead Electrocardiogram for Diagnosing Acute MyocardialInfarction in the Emergency Department Case 1. Widimsky P et al. O'Gara PT, Kushner FG, Ascheim DD, et al.
Assessment was severe sudden cardiogenicshock. In normal times, the most common use of cTni is in diagnosing, or ruling out, acute myocardialinfarction (AMI, a subcategory of acute myocardial injury. MyocardialInfarction Type 2 and Myocardial Injury. They recorded an EC G: New ST Elevation.
LAD 80% mid LCx occluded mid (acute infarct lesion) RCA 80% mid. PCI mid LCx So this is an OMI (Occlusion MyocardialInfarction), but not a STEMI Echo: Decreased left ventricular systolic performance, mild/moderate. The patient went into cardiogenicshock and ultimately died of this MI. The cath lab was activated.
New insights into the use of the 12-lead electrocardiogram for diagnosing acute myocardialinfarction in the emergency department. An elderly man with sudden cardiogenicshock, diffuse ST depressions, and STE in aVR Literature 1. 2 cases of Aortic Stenosis: Diffuse Subendocardial Ischemia on the ECG. Left main?
The axiom of "type 1 (ACS, plaque rupture) STEMIs are not tachycardic unless they are in cardiogenicshock" is not applicable outside of sinus rhythm. Again, not an expected outcome with diltiazem). Diltiazem is not terribly effective for conversion of atrial flutter to sinus, so this should not be an expected result.
were pretty sick, with mostly LM/pLAD lesions and high rates of cardiogenicshock. Outcome of our case Once the type 2 SCAD was identified, the heparin drip was stopped. Revascularization in Patients With Spontaneous Coronary Artery Dissection and ST-Segment Elevation MyocardialInfarction. Lobo et al.
BACKGROUND:There are limited large-scale data on the outcomes of patients with cardiogenicshock (CS) transferred to hub centers. Circulation: Heart Failure, Ahead of Print. Overlap propensity score weighting was performed to assess the association between transfer status and in-hospital mortality.
Background Takotsubo cardiomyopathy (TC) is an established differential diagnosis of myocardialinfarction with non-obstructive coronaries with significant interest but limited data on prognostication. We reviewed the characteristics and in-hospital outcomes and developed a novel risk score for TC.
Objective This study describes the differences in treatment and clinical outcomes in patients aged ≥75 years compared with those aged ≤74 years presenting with acute coronary syndrome (ACS) and undergoing invasive management. Results In total, 11 763 patients were diagnosed with ACS, of which 39% were aged ≥75 years.
When one of these arteries becomes completely blocked by a blood clot, it results in a heart attack, also known as MI (Myocardialinfarction). When a person experiences a heart attack or myocardialinfarction, they may feel chest pain and other symptoms in different parts of their body.
Adult Cardiac Surgery Database Lead Author Title Publication Date Jacob Raphael Red Blood Cell Transfusion and Pulmonary Complications: The Society of Thoracic Surgeons Adult Cardiac Surgery Database Analysis The Annals of Thoracic Surgery January 2024 Joseph Sabik Multi-Arterial versus Single-Arterial Coronary Surgery: Ten Year Follow-up of One Million (..)
Program Designations Access and Publications (A&P) 1 Participant User File (PUF) 2 Task Force on Funded Research (TFR) 3 Special Projects 4 Adult Cardiac Surgery Database Lead Author Title Publication Date William Keeling 2 National Trends in Emergency Coronary Artery Bypass Grafting European Journal of Cardiothoracic Surgery October 2023 Jake (..)
Although mortality risk prediction in cardiogenicshock (CS) is possible, assessing the impact of the multitude of therapeutic efforts on outcomes is not straightforward. were male and acute myocardialinfarction was the prevalent cause of shock (71.1%). vs. 41.5%, p 4. CI: 0.230.82, p=0.83).
BackgroundCardiogenic shock (CS) is a severe complication of acute myocardialinfarction (AMI) with high mortality. Primary outcomes explored the correlation between vasoactive use and in-hospital mortality. had ST-segment elevation myocardialinfarction. Clinical and 24h hemodynamic data were analyzed.
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