Need for a Cardiogenic Shock Team Collaborative—Promoting a Team‐Based Model of Care to Improve Outcomes and Identify Best Practices

Journal of the American Heart Association, Journal Year: 2024, Volume and Issue: 13(6)

Published: March 8, 2024

Cardiogenic shock continues to carry a high mortality rate despite contemporary care, with no breakthrough therapies shown improve survival over the past few decades. It is time-sensitive condition that commonly results in cardiovascular complications and multisystem organ failure, necessitating multidisciplinary expertise. Managing patients cardiogenic remains challenging even well-resourced settings, an important subgroup of may require cardiac replacement therapy. As result, idea leveraging collective cognitive procedural proficiencies multiple providers collaborative, team-based approach care (the "shock team") has been advocated by professional societies implemented at select high-volume clinical centers. A slowly maturing evidence base suggested teams patient outcomes. Although several registries exist are beginning inform particularly around therapeutic strategies pharmacologic mechanical circulatory support, none these currently focused on team approach, multispecialty partnership, education, or process improvement. We propose creation Shock Team Collaborative-akin successful Pulmonary Embolism Response Consortium-with goal promote sharing protocols, education stakeholders, discovery how performance influence outcomes, quality, resource consumption, costs care.

Language: Английский

---

Left Ventricular Unloading With Impella Versus IABP in Patients With VA-ECMO: A Systematic Review and Meta-Analysis

The American Journal of Cardiology, Journal Year: 2023, Volume and Issue: 208, P. 53 - 59

Published: Oct. 7, 2023

Language: Английский

---

Triglyceride-glucose index is associated with the occurrence and prognosis of cardiac arrest: a multicenter retrospective observational study

Cardiovascular Diabetology, Journal Year: 2023, Volume and Issue: 22(1)

Published: July 27, 2023

Abstract Background Triglyceride-glucose (TyG) index is an efficient indicator of insulin resistance and proven to be a valuable marker in several cardiovascular diseases. However, the relationship between TyG cardiac arrest (CA) remains unclear. The present study aimed investigate association with occurrence clinical outcomes CA. Methods In this retrospective, multicenter, observational study, critically ill patients, including patients post-CA, were identified from eICU Collaborative Research Database evaluated. for each patient was calculated using values triglycerides glucose recorded within 24 h intensive care unit (ICU) admission. In-hospital mortality ICU primary outcomes. Logistic regression, restricted cubic spline (RCS), correlation analyses performed explore Propensity score matching (PSM), overlap weighting (OW), inverse probability treatment (IPTW) adopted balance baseline characteristics minimize selection bias confirm robustness results. Subgroup analysis based on different modifiers also performed. Results Overall, 24,689 1021 enrolled. significantly higher post-CA than those without CA (9.20 (8.72–9.69) vs. 8.89 (8.45–9.41)), had moderate discrimination ability identify overall population (area under curve = 0.625). Multivariate logistic regression indicated that independent risk factor in-hospital (OR 1.28, 95% CI: 1.03–1.58) 1.27, 1.02–1.58) post-CA. RCS curves revealed increased linearly related risks (P nonlinear: 0.225 0.271, respectively). Even after adjusting by PSM, IPTW, OW, remained experiencing CA, which age, BMI, sex, etc. Correlation negatively correlated neurological status Conclusion Elevated associated Our findings extend landscape diseases, requires further prospective cohort study.

Language: Английский

---

Cardiogenic Shock

Critical Care Clinics, Journal Year: 2023, Volume and Issue: 40(1), P. 37 - 56

Published: July 6, 2023

Language: Английский

---

Mixed Cardiogenic-Vasodilatory Shock

JACC Advances, Journal Year: 2024, Volume and Issue: 4(1), P. 101432 - 101432

Published: Dec. 5, 2024

This state-of-the-art review describes the potential etiologies, pathophysiology, and management of mixed shock in context a proposed novel classification system. Cardiogenic-vasodilatory occurs when cardiogenic is complicated by inappropriate vasodilation, impairing compensatory mechanisms, contributing to worsening shock. Vasodilatory-cardiogenic vasodilatory myocardial dysfunction, resulting low cardiac output. Primary systemic insult triggers both dysfunction vasoplegia. Regardless etiology shock, hemodynamic profile can be similar, outcomes tend poor. Identification treatment initial complicating disease processes essential along with invasive monitoring given evolving nature states. Hemodynamic support typically involves combination inotropes vasopressors, few data available guide use mechanical circulatory support. Consensus definitions strategies are needed for this dangerous condition.

Language: Английский

---

Management of non-Cardiac Organ Failure in cardiogenic shock

American Heart Journal Plus Cardiology Research and Practice, Journal Year: 2025, Volume and Issue: unknown, P. 100549 - 100549

Published: May 1, 2025

Language: Английский

---

Race, Ethnicity, and Gender Disparities in Acute Myocardial Infarction

Critical Care Clinics, Journal Year: 2024, Volume and Issue: 40(4), P. 685 - 707

Published: June 6, 2024

Language: Английский

---

Tratamiento médico del shock cardiogénico

Medicina Intensiva, Journal Year: 2024, Volume and Issue: 48(8), P. 477 - 486

Published: June 22, 2024

---

Spontaneous coronary artery dissection (SCAD) with cardiac arrest at presentation: A subanalysis from the DISCO registry

International Journal of Cardiology, Journal Year: 2024, Volume and Issue: 412, P. 132331 - 132331

Published: July 2, 2024

Language: Английский

---

The medical treatment of cardiogenic shock

Medicina Intensiva (English Edition), Journal Year: 2024, Volume and Issue: 48(8), P. 477 - 486

Published: June 3, 2024

Language: Английский

---