Key result
Managing acute heart failure during cardiac surgery requires advanced risk assessment and individualized surgical tactics.
Why the study?
Patients with acute heart failure and cardiogenic shock undergoing cardiac surgery have high risk and poor outcomes, and standard risk scores consistently underestimate their mortality.
What are the modern strategies for anesthetic and perioperative management in adult cardiac surgery patients with acute heart failure and cardiogenic shock?
Systematic Review (n=35)
What are the modern strategies for anesthetic and perioperative management in adult cardiac surgery patients with acute heart failure and cardiogenic shock?
A multidisciplinary approach integrating advanced risk stratification, tailored surgical and anesthetic techniques, and preemptive intensive care is recommended for high-risk cardiac surgery patients with acute heart failure.
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Supports multidisciplinary perioperative strategies in acute HF cardiac surgery; extends Level 1 evidence synthesis for biomarker-guided risk assessment and preemptive MCS.
Taranov et al. (2026) conducted a systematic review in Acute heart failure and cardiogenic shock requiring cardiac surgery (n=35). Modern perioperative management strategies was evaluated. A systematic review of 35 studies concluded that perioperative management of cardiac surgery patients with acute heart failure requires advanced risk assessment and individualized surgical tactics.
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