Title

Cardiac Shock Care Centers: JACC Review Topic of the Week.

Document Type

Article

Publication Date

10-16-2018

Publication Title

Journal of the American College of Cardiology

Abstract

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.

PubMed ID

30309475

Volume

72

Issue

16

First Page

1972

Last Page

1980

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