Dedicated cardiac shock care centers and standardized treatment pathways are suggested to address cardiogenic shock secondary to acute myocardial infarction, which has an unchanged mortality near 50%.
The authors propose systems of care and treatment pathways for acute myocardial infarction complicated by cardiogenic shock, highlighting the potential benefit of mechanical circulatory support prior to reperfusion.
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.
Rab et al. (Mon,) conducted a review in Acute myocardial infarction complicated by cardiogenic shock. Cardiac shock care centers and treatment pathways was evaluated. Dedicated cardiac shock care centers and standardized treatment pathways are suggested to address cardiogenic shock secondary to acute myocardial infarction, which has an unchanged mortality near 50%.