Hemodynamic Support in PCI: From Chronic Heart Failure to Cardiogenic Shock

2013 ◽  
pp. 221-225
Author(s):  
Jooby John ◽  
Kirk N. Garratt
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Cardiogenic Shock ◽  
Hemodynamic Support

scholarly journals Etiology and Prognosis of Cardiogenic Shock in a Secondary Center without Surgical Back-Up

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Laurent Bonello ◽  
Marc Laine ◽  
Etienne Puymirat ◽  
Victoria Ceccaldi ◽  
Mélanie Gaubert ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Cardiogenic Shock ◽  
Left Ventricular ◽  
Rank Test ◽  
First Episode ◽  
Common Cause ◽  
Secondary Center ◽  
Acute Decompensation

Background. Cardiogenic shock (CS) remains a major challenge in contemporary cardiology. Data regarding CS etiologies and their prognosis are limited and mainly derived from tertiary referral centers. Aims. To investigate the current etiologies of cardiogenic shock and their associated short- and long-term outcomes in a secondary center without surgical back-up. Methods. We performed an observational prospective monocenter study. All patients admitted for a first episode of CS related to left ventricular dysfunction were enrolled. The definition of CS was consistent with the European Society of Cardiology guidelines. Patients were followed for 6 months. Etiologies were analyzed, and survival rates derived from Kaplan-Meier estimates were compared with the log-rank test. Results. Between January 2015 and January 2016, 152 patients were included. The first most common cause of CS was acute decompensation of chronic heart failure (CHF). Acute coronary syndromes (ACS) were the second most common cause of CS (35.4%). At one month, the all-cause mortality rate was 39.5% and was similar between ACS and CHF (43% vs 35%, respectively; p=0.7). In a landmark analysis between 1 and 6 months, we observed a significantly higher mortality in patients with CHF than in patients with ACS (18% vs. 0%; p=0.01). Conclusions. In the present registry, acute decompensation of chronic heart failure was the most common cause of CS, while ACS complicated by CS was the second most common cause. Of importance, acute decompensation of CHF was associated with a significantly worse outcome than ACS in the long term.

Intra-aortic balloon pump for acute-on-chronic heart failure complicated by cardiogenic shock

2021 ◽  
Author(s):  
Nuccia Morici ◽  
Claudia Marini ◽  
Alice Sacco ◽  
Guido Tavazzi ◽  
Francesco Saia ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Cardiogenic Shock ◽  
Intra Aortic Balloon Pump

scholarly journals Hemodynamic Profiles of Cardiogenic Shock Depending on Their Etiology

2020 ◽  
Vol 9 (11) ◽  
pp. 3384
Author(s):  
Mélanie Gaubert ◽  
Marc Laine ◽  
Noémie Resseguier ◽  
Nadia Aissaoui ◽  
Etienne Puymirat ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Heart Failure ◽  
Acute Myocardial Infarction ◽  
Chronic Heart Failure ◽  
Cardiogenic Shock ◽  
Power Index ◽  
Demographic Data ◽  
Future Research ◽  
Cardiac Power ◽  
Severity Criteria

The pathophysiology of cardiogenic shock (CS) varies depending on its etiology, which may lead to different hemodynamic profiles (HP) and may help tailor therapy. We aimed to assess the HP of CS patients according to their etiologies of acute myocardial infarction (AMI) and acute decompensated chronic heart failure (ADCHF). We included patients admitted for CS secondary to ADCHF and AMI. HP were measured before the administration of any inotrope or vasopressor. Systemic Vascular Resistances index (SVRi), Cardiac Index (CI), and Cardiac Power Index (CPI) were measured by trans-thoracic Doppler echocardiography on admission. Among 37 CS patients, 28 had CS secondary to ADCHF or AMI and were prospectively included. The two groups were similar in terms of demographic data and shock severity criteria. AMI CS was associated with lower SVRi compared to CS related to ADCHF: 2010 (interquartile range (IQR): 1895–2277) vs. 2622 (2264–2993) dynes-s·cm−5·m−2 (p = 0.002). A trend toward a higher CI was observed: respectively 2.13 (1.88–2.18) vs. 1.78 (1.65–1.96) L·min−1·m−2 (p = 0.067) in AMICS compared to ADCHF. CS patients had different HP according to their etiologies. AMICS had lower SVR and tended to have a higher CI compared to ADHF CS. These differences should be taken into account for patient selection in future research.

scholarly journals Percutaneous Hemodynamic Support (Impella) in Patients with Advanced Heart Failure and/or Cardiogenic Shock Not Eligible to PROTECT II Trial

2013 ◽  
Vol 22 (04) ◽  
pp. 207-212 ◽  
Author(s):  
Wei Liu ◽  
Venkata Mukku ◽  
Syed Gilani ◽  
Ken Fujise ◽  
Alejandro Barbagelata
Keyword(s):  
Heart Failure ◽  
Cardiogenic Shock ◽  
Advanced Heart Failure ◽  
Hemodynamic Support

scholarly journals Outcome differences in acute vs. acute on chronic heart failure and cardiogenic shock

2020 ◽  
Vol 7 (3) ◽  
pp. 1118-1124 ◽  
Author(s):  
Tara L. Jones ◽  
Michael C. Tan ◽  
Vidang Nguyen ◽  
Kathleen E. Kearney ◽  
Charles C. Maynard ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Cardiogenic Shock ◽  
Outcome Differences
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