Why the study?
Does PCI improve survival in patients with acute myocardial infarction complicated by cardiogenic shock?
Does PCI improve survival in patients with acute myocardial infarction complicated by cardiogenic shock?
PCI is associated with improved survival in AMI complicated by cardiogenic shock, highlighting the need for better adherence to revascularization guidelines.
May support PCI consideration in cardiogenic shock; leaves open causal benefit and need for RCTs in AMI.
The use of PCI for patients with cardiogenic shock was associated with improved survival in a large group of hospitals with revascularization capability. The American College of Cardiology and American Heart Association guidelines had no detectable temporal impact on revascularization rates. These findings support the need for increased adherence to these guidelines.
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Babaev et al. (2005) studied this question.
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