Cardiac Shock Care Centers: JACC Review Topic of the Week
Rab T, Ratanapo S, Kern KB, Basir MB, McDaniel M, Meraj P, King SB, 3rd, O'Neill W. Cardiac shock care centers: JACC review topic of the week. J Am Coll Cardiol. 2018;72(16):1972-1980.
Journal of the American College of Cardiology
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.