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Updated: Jan 26, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
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Standardized Team-Based Care for Cardiogenic Shock.

Behnam N Tehrani1, Alexander G Truesdell2, Matthew W Sherwood1

  • 1INOVA Heart and Vascular Institute, Falls Church, Virginia.

Journal of the American College of Cardiology
|April 6, 2019
PubMed
Summary

A standardized team-based approach improved survival for patients with cardiogenic shock (CS). A new risk score, using demographic and hemodynamic data, helps guide clinical decisions for CS management.

Keywords:
cardiogenic shockmechanical circulatory supportmultidisciplinary careshock team

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Area of Science:

  • Cardiology
  • Critical Care Medicine
  • Hemodynamics

Background:

  • Cardiogenic shock (CS) is a complex syndrome with high mortality despite advances in treatment.
  • Current management of CS is variable, leading to suboptimal patient outcomes.

Purpose of the Study:

  • To evaluate if a standardized, team-based approach improves outcomes in patients with cardiogenic shock.
  • To develop a risk stratification score to guide clinical decision-making in CS.

Main Methods:

  • 204 patients with CS were analyzed for etiology, demographics, and outcomes.
  • Cardiac power output (CPO) and pulmonary arterial pulsatility index (PAPi) were measured.
  • A risk score was developed using logistic regression based on predictors of mortality.

Main Results:

  • 30-day survival improved significantly from 47% in 2016 to 76.6% in 2018.
  • Key predictors of mortality included age, diabetes, dialysis, vasopressor duration, lactate levels, CPO, and PAPi.
  • A 3-category risk score (low, moderate, high) was established based on these predictors.

Conclusions:

  • A standardized, team-based approach may enhance outcomes for cardiogenic shock patients.
  • The developed risk score can quantify patient risk and guide clinical decisions across CS phenotypes.