“…In this issue of Intensive Care Medicine, Fernando and colleagues used a large healthcare dataset of 14.6 million Canadians to explore the prevalence of subsequent mental health issues in survivors of AMI complicated by cardiogenic shock, including mood disorders (encompassing depression and bipolar disorders), psychotic disorders, substance misuse, social problems, and self-harm/suicide [8]. They specifically examined the impact of cardiogenic shock on post-AMI mental health by examining 7812 patients with AMI-CS and comparing them to 56,802 patients with AMI without CS, after adjustment for baseline risk factors as well as exploration using propensity weighted analysis.…”