Why the study?
Cardiogenic shock remains a serious complication of acute myocardial infarction with persistently high mortality and significant management variability across centers.
This consensus document provides a standardized, evidence-based approach to the management of AMI-related cardiogenic shock to reduce practice variability.
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Reduces practice variability in AMI-CS care; extends literature into evidence-based consensus for clinicians and researchers.
Objective: Cardiogenic shock (CS) remains a serious complication of acute myocardial infarction (AMI) with persistently high mortality and significant variability in management across centers. Methods: A multidisciplinary panel convened by the National Heart Center used the GRADE framework to review evidence and develop consensus recommendations tailored to AMI-related CS. Results: The document emphasizes standardized CS definition and staging, prioritizing the SCAI classification. Key components include early recognition, haemodynamic assessment, lactate monitoring, and the central role of echocardiography. Recommendations support rapid culprit-vessel revascularization, early consideration of mechanical circulatory support, and structured Heart Team activation. The document also highlights the need for protocolized care pathways and CS registries. Conclusion: These consensus recommendations provide a unified approach to AMI-related CS aimed at reducing practice variation and improving clinical outcomes.
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Alasnag et al. (2026) studied this question. Consensus recommendations for AMI-related cardiogenic shock prioritize standardized SCAI staging, rapid culprit-vessel revascularization, and early mechanical circulatory support.
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