Interhospital transfer for early revascularization in patients with ST-elevation myocardial infarction complicated by cardiogenic shock—a report from the SHould we revascularize Occluded Coronaries for cardiogenic shocK? (SHOCK) trial and registry

2006 ◽  
Vol 152 (4) ◽  
pp. 686-692 ◽  
Author(s):  
Raban V. Jeger ◽  
Chi-Hong Tseng ◽  
Judith S. Hochman ◽  
Eric R. Bates
Keyword(s):  
Myocardial Infarction ◽  
Cardiogenic Shock ◽  
St Elevation Myocardial Infarction ◽  
Shock Trial ◽  
Interhospital Transfer ◽  
Early Revascularization ◽  
St Elevation

scholarly journals Cardiogenic Shock Due to ST Elevation Myocardial Infarction: How Far Are We?

2021 ◽  
Vol 01 (01) ◽  
pp. 003-0010
Author(s):  
Rohit Mody
Keyword(s):  
Myocardial Infarction ◽  
Cardiogenic Shock ◽  
Hemodynamic Instability ◽  
St Elevation Myocardial Infarction ◽  
Treatment Modalities ◽  
Circulatory Support ◽  
Low Cardiac Output ◽  
Body Tissues ◽  
Early Revascularization ◽  
St Elevation

Cardiogenic shock (CS) due to acute ST-elevation myocardial infarction is a complex state of low cardiac output and hemodynamic instability that transmutes to hypoperfusion of various body tissues leading to multi-organ dysfunction and death. Mortality rates due to CS remain high despite many recent advances in treatment. In the management of CS, early revascularization is the mainstay of the treatment. The patient can be stabilized using fl uids, vasopressors or inotropes, mechanical circulatory support, and general intensive care techniques. Due to only few randomized trials on CS patients, there is lack of concrete evidence supporting various treatment modalities, except for revascularization. Thus, CS and its management is a topic with more controversies than conclusions regarding optimal treatment and management.

scholarly journals Cardiogenic shock and radial access in patients with an acute ST elevation myocardial infarction

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
R Zahn ◽  
M Hochadel ◽  
B Schumacher ◽  
M Pauschinger ◽  
C Stellbrink ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Hospital Mortality ◽  
Cardiogenic Shock ◽  
St Elevation Myocardial Infarction ◽  
Strong Variation ◽  
Access Site ◽  
Femoral Access ◽  
Radial Access ◽  
St Elevation ◽  
The Difference

Abstract Background Cardiogenic shock (CS) in patients (pts) with acute ST elevation myocardial infarction (STEMI) is the strongest predictor of hospital mortality. Radial in contrast to femoral access in STEMI pts might be associated with a lower mortality. However, little is known on radial access in CS pts. Methods We retrospectively analysed all STEMI pts between 2009 and 2015 who sufferend from CS and who were included into the ALKK PCI registry. Pts treated via a radial access were compared to those treated via a femoral access. Results Between 2009 and 2015 23796 STEMI pts were included in the registry. 1763 (7.4%) of pts were in CS. The proportion of radial access was 6.6%: in 2009 4.0% and in 2015 19.6%, p for trend <0.0001 with a strong variation between the participating centres (0% to 37%). Conclusions Radial access was only used in 6.6% of STEMI pts presenting in CS. However, a significant increase in the use of radial access was observed over time (2009: 4%, 2015 19.6%, p<0.001), with a great variance in its use between the participating hospitals. Despite similar pt characteristics the difference in hospital mortality according to access site has to be interpretated with caution. Funding Acknowledgement Type of funding source: None

scholarly journals CRT-100.03 Cardiogenic Shock and ST-elevation Myocardial Infarction: Do Patients With Prior CABG Or Prior PCI Do Better?

2018 ◽  
Vol 11 (4) ◽  
pp. S2
Author(s):  
Prabhjot Singh ◽  
Chencan Zhu ◽  
Puja Parikh ◽  
Javed Butler ◽  
Jie Yang ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Cardiogenic Shock ◽  
St Elevation Myocardial Infarction ◽  
St Elevation

Transradial intervention for patients with ST elevation myocardial infarction with or without cardiogenic shock

2013 ◽  
Vol 83 (1) ◽  
pp. E1-E7 ◽  
Author(s):  
Toshiharu Fujii ◽  
Naoki Masuda ◽  
Takeshi Ijichi ◽  
Yoshinari Kamiyama ◽  
Shigemitsu Tanaka ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Cardiogenic Shock ◽  
St Elevation Myocardial Infarction ◽  
St Elevation ◽  
Transradial Intervention
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