Why the study?
Mortality remains high in STEMI complicated by cardiogenic shock despite early reperfusion, motivating an assessment of how reperfusion delays affect outcomes in patients with versus without cardiogenic shock.
Does increased first medical contact-to-device time increase in-hospital mortality and major adverse cardiovascular events in STEMI patients with and without cardiogenic shock?
Population
STEMI patients undergoing primary percutaneous coronary angiography stratified by cardiogenic shock
Comparison
FMC-to-percutaneous coronary angiography time in cardiogenic shock vs non-shock groups
Design
Retrospective registry analysis
Follow-up
In-hospital
Authors
Loading...
Mortality rises steeply with delays in shock; extends observational data on FMC-to-device time but leaves causality open.
Does increased first medical contact-to-device time increase in-hospital mortality and major adverse cardiovascular events in STEMI patients with and without cardiogenic shock?
Reperfusion delays are associated with a significantly steeper increase in absolute mortality for STEMI patients presenting with cardiogenic shock compared to those without shock.
Kochan et al. (2023) studied this question.