Impact of awake extracorporeal membrane oxygenation on patients mortality with cardiogenic shock: a systematic review and trial sequential meta-analysis based on observational studies

BMJ Open, Год журнала: 2024, Номер 14(10), С. e086383 - e086383

Опубликована: Окт. 1, 2024

The use of awake extracorporeal membrane oxygenation (ECMO, without intubation or sedation under ECMO support in patients with cardiogenic shock is growing rapidly because emerging clinical investigations indicates it may reduce morbidity associated and intubation. We systematically reviewed the efficacy provided evidence for practitioners researchers.

Язык: Английский

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In-Hospital cardiac arrest complicating ST-elevation myocardial Infarction: Temporal trends and outcomes based on management strategy

Resuscitation, Год журнала: 2023, Номер 186, С. 109747 - 109747

Опубликована: Фев. 21, 2023

Язык: Английский

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The Association between Cardiac Arrest and Mortality in Patients with Acute Myocardial Infarction Complicated by Cardiogenic Shock

Reviews in Cardiovascular Medicine, Год журнала: 2024, Номер 25(8)

Опубликована: Авг. 1, 2024

Background: The impact of cardiac arrest (CA) at admission on the prognosis patients with acute myocardial infarction (AMI) complicated by cardiogenic shock (CS) remains a subject debate. Methods: We conducted retrospective study West China Hospital from 2018 to 2021, enrolling 247 AMI CS (AMI-CS). Patients were categorized into CA and non-CA groups based their status. Univariate multivariate Cox regression analyses performed, 30-day 1-year mortality as primary endpoints. Kaplan–Meier plots constructed, concordance (C)-indices Global Registry Acute Coronary Event (GRACE) score, Intra-aortic Balloon Pump in Cardiogenic Shock (IABP-SHOCK) II IABP-SHOCK score calculated. Results: Among enrolled patients, 39 experienced received cardiopulmonary resuscitation admission. rates 40.9% 47.0%, respectively. Neither univariate nor identified significant risk factor for mortality. In C-statistics, GRACE exhibited moderate effect (C-indices 0.69 0.67, respectively), while had better predictive performance 0.79 0.76, respectively) Furthermore, did not enhance value (p = 0.864) 0.888). Conclusions: Cardiac influence survival AMI-CS. Active should be prioritized AMI-CS, regardless presence arrest.

Язык: Английский

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Short-term and long-term outcomes of cardiac arrhythmias in patients with cardiogenic shock

Expert Review of Cardiovascular Therapy, Год журнала: 2024, Номер 22(10), С. 537 - 551

Опубликована: Сен. 25, 2024

Cardiogenic shock is severe circulatory failure that results in significant in-hospital mortality, related morbidity, and economic burden. Patients with cardiogenic are at high risk for atrial ventricular arrhythmias, particularly within the subset of patients an overlap cardiac arrest. This review article will explore prevalence, definition, management, outcomes common arrhythmias shock. describe pathophysiology arrhythmia impact inotropic agents on increased arrhythmogenicity. In addition to medical focused assessment mechanical support, radiofrequency ablation, deep sedation, stellate ganglion block be provided. We navigate limited data prognostic impacts arrhythmia. Finally, we conclude a discussion prevention strategies, research limitations, future directions.

Язык: Английский

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Cardiogenic Shock and Percutaneous Left Ventricular Assist Devices—Investigating Gender-Specific Disparities

Heart Lung and Circulation, Год журнала: 2024, Номер 33(12), С. 1611 - 1613

Опубликована: Дек. 1, 2024

Язык: Английский

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