Trends in cardiogenic shock management and prognostic impact of type of treating center

Sánchez‐Salado, José Carlos; Burgos, Virginia; Arizá-Solé, Albert; Sionís, Alessandro; Canteli, A.; Bernal, José Luis; Fernández, Cristina; Castrillo, Cristina; Ruíz-Lera, Marta; López-de-Sá, Esteban; Lidón, Rosa María; Worner, Fernando; Martínez‐Sellés, Manuel; Segovia, Javier; Viana-Tejedor, Ana; Lorente, Victòria; Alegre, Oriol; Llaó, Isaac; González-Costello, José; Manito, Nicolás; Cequier, Ángel; Bueno, Héctor; Elola, Javier

doi:10.1016/j.rec.2019.10.004

Cited by 7 publications

(8 citation statements)

References 28 publications

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“…To our best knowledge, the presented study for the first time provides a clinical view from a national perspective on the impact of vascular access site on clinical outcomes in STEMI with CS in a contemporary unselected cohort of patients. Our analysis is consistent with the results of former studies [11,[19][20][21][22][23][24]. Favorable outcome in RA was confirmed in a large meta-analysis of 6 observational studies [11].…”

Section: Discussionsupporting

confidence: 92%

“…The absence of difference in bleeding complications between RA and FA might be partially explained by an impaired effect of oral antiplatelet agents related to diminished intestinal absorption in the setting of CS [21,23,24]. Furthermore, RA might reduce bleeding risk by limiting the number of femoral punctures needed in CS treatment [27][28][29].…”

Section: Discussionmentioning

confidence: 99%

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Radial approach reduces mortality in ST-segment elevation myocardial infarction with cardiogenic shock

Tokarek¹,

Dziewierz²,

Plens³

et al. 2021

Polish Archives of Internal Medicine

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This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (CC BY-NC-SA 4.0), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited, distributed under the same license, and used for noncommercial purposes only.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Radial approach reduces mortality in ST-segment elevation myocardial infarction with cardiogenic shock

Tokarek¹,

Dziewierz²,

Plens³

et al. 2021

Polish Archives of Internal Medicine

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“…This value is higher than those reported in the French registry (63%) in 2005 [ 5 ] and similar to those from the Italian study (83%) [ 10 ] in 2014. Both coronary revascularization procedures and the availability of an intensive cardiac care unit have been associated with lower mortality rates [ 8 ], although benefits in survival with the use of hemodynamic support devices (i.e., an intra-aortic balloon pump [ 11 ] or Impella support [ 20 , 21 ]) are as yet inconclusive. Furthermore, despite proper reperfusion, no differences in mechanical complications or ventricular arrhythmias were observed over the last 30 years.…”

Section: Discussionmentioning

confidence: 99%

“…CS is the leading cause of hospital mortality associated with acute myocardial infarction (MI). Prevalence of CS due to acute MI varies from 5 to 15% [ 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 ], although some of these data come from studies performed before the generalization of reperfusion [ 1 , 2 ]. Despite recent advances in the prevention and management of acute MI, and the widespread use of primary percutaneous coronary intervention in patients with ST-elevation MI (STEMI), acute phase mortality of STEMI-complicated CS (STEMI-CS) remains unacceptably high [ 6 , 7 , 8 , 9 , 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

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Short- and Long-Term Mortality Trends in STEMI-Cardiogenic Shock over Three Decades (1989–2018): The Ruti-STEMI-Shock Registry

García-García

Oliveras

Ouaddi

et al. 2020

JCM

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Aims: Cardiogenic shock (CS) is an ominous complication of ST-elevation myocardial infarction (STEMI), despite the recent widespread use of reperfusion and invasive management. The Ruti-STEMI-Shock registry analysed the prevalence of and 30-day and 1-year mortality rates in ST-elevation myocardial infarction (STEMI) complicated by CS (STEMI-CS) over the last three decades. Methods and Results: From February 1989 to December 2018, 493 STEMI-CS patients were consecutively admitted in a well-defined geographical area of ~850,000 inhabitants. Patients were classified into six five-year periods based on their year of admission. STEMI-CS mortality trends were analysed at 30 days and 1 year across the six strata. Cox regression analyses were performed for comparisons. Mean age was 67.5 ± 11.7 years; 69.4% were men. STEMI-CS prevalence did not decline from period 1 to 6 (7.1 vs. 6.2%, p = 0.218). Reperfusion therapy increased from 22.5% in 1989–1993 to 85.4% in 2014–2018. Thirty-day all-cause mortality declined from period 1 to 6 (65% vs. 50.5%, p < 0.001), with a 9% reduction after multivariable adjustment (HR: 0.91; 95% CI: 0.84–0.99; p = 0.024). One-year all-cause mortality declined from period 1 to 6 (67.5% vs. 57.3%, p = 0.001), with an 8% reduction after multivariable adjustment (HR: 0.92; 95% CI: 0.85–0.99; p = 0.030). Short- and long-term mortality trends in patients aged ≥ 75 years remained ~75%. Conclusions: Short- and long-term STEMI-CS-related mortality declined over the last 30 years, to ~50% of all patients. We have failed to achieve any mortality benefit in STEMI-CS patients over 75 years of age.

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Critical care networks for the treatment of cardiogenic shock. Where and how should the shock code be implemented?

Uribarri

Román

2020

Revista Española de Cardiología (English Edition)

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Trends in cardiogenic shock management and prognostic impact of type of treating center

Cited by 7 publications

References 28 publications

Radial approach reduces mortality in ST-segment elevation myocardial infarction with cardiogenic shock

Radial approach reduces mortality in ST-segment elevation myocardial infarction with cardiogenic shock

Short- and Long-Term Mortality Trends in STEMI-Cardiogenic Shock over Three Decades (1989–2018): The Ruti-STEMI-Shock Registry

Critical care networks for the treatment of cardiogenic shock. Where and how should the shock code be implemented?

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