Cardiac Shock Care Centers: JACC Review Topic of the Week

Publication Date

2018

Journal Title

J Am Coll Cardiol

Abstract

© 2018 American College of Cardiology Foundation Despite advances over the past decade, the incidence of cardiogenic shock secondary to acute myocardial infarction has increased, with an unchanged mortality near 50%. Recent trials have not clarified the best strategies in treatment. While dedicated cardiac shock centers are being established, there are no standardized agreements on the utilization of mechanical circulatory support and the timeliness of percutaneous coronary intervention strategies. In some centers and prospective registries, outcomes after placement of advanced mechanical circulatory support prior to reperfusion therapy with percutaneous coronary intervention have been encouraging with improved survival. Here, we suggest systems of care with a treatment pathway for patients with acute myocardial infarction complicated by cardiogenic shock.

Volume Number

72

Issue Number

16

Pages

1972 - 1980

Document Type

Article

Status

Faculty

Facility

School of Medicine

Primary Department

Cardiology

PMID

30309475

DOI

10.1016/j.jacc.2018.07.074

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