Related Experiment Video

Updated: Dec 20, 2025

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

3.5K

Initial outcomes of a multidisciplinary network for the care of patients with cardiogenic shock

Francisco José Hernández-Pérez1, José Manuel Álvarez-Avelló2, Alberto Forteza3

  • 1Servicio de Cardiología, Hospital Universitario Puerta de Hierro, Majadahonda, Madrid, Spain.

Revista Espanola De Cardiologia (English Ed.)
|May 26, 2020
PubMed

Insights

A multidisciplinary team and regional network for cardiogenic shock (CS) patients requiring mechanical circulatory support (MCS) is feasible. This program improved survival to discharge for over half of these critically ill patients.

Area of Science:

  • Cardiology
  • Critical Care Medicine
  • Cardiovascular Surgery

Background:

  • Cardiogenic shock (CS) has high mortality, particularly refractory CS requiring mechanical circulatory support (MCS).
  • Establishing specialized care programs and regional networks is crucial for managing complex CS cases.

Purpose of the Study:

  • To evaluate the outcomes of a dedicated care program for CS patients.
  • To assess the impact of a multidisciplinary team and regional network on patient survival.

Main Methods:

  • Retrospective observational study of 130 CS patients (Sept 2014 - Jan 2019).
  • Included patients with refractory CS requiring MCS and those eligible for advanced therapies.
  • Primary endpoint: survival to discharge.

Main Results:

  • Overall survival to discharge was 57% (74/130 patients).
  • Mechanical circulatory support (MCS) was used in 81% of patients, primarily extracorporeal membrane oxygenation.
  • Independent predictors of mortality included SAPS II score, lactate level, acute myocardial infarction, and vasoactive-inotropic score.

Conclusions:

  • A multidisciplinary team approach and regional network for CS patients are feasible.
  • This integrated care model significantly improves survival to discharge rates in critically ill CS patients.
Abstract

Keywords:
Cardiogenic shockEquipo multidisciplinarioMechanical circulatory supportMultidisciplinary teamRedes de shock cardiogénicoRegional network for cardiogenic shockShock cardiogénicoSoporte circulatorio mecánico

More Related Videos

Complete and Partial Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock06:30

Complete and Partial Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock

Published on: May 19, 2022

7.3K
Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock07:39

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock

Published on: August 16, 2021

4.0K

Related Concept Videos

Cardiopulmonary Resuscitation IV: Pharmacological Management01:25

Cardiopulmonary Resuscitation IV: Pharmacological Management

Pharmacologic intervention is crucial in treating cardiac arrest patients during ACLS or Advanced Cardiovascular Life Support. The ACLS algorithms guide the administration of specific drugs based on the patient's cardiac arrest rhythm, which includes pulseless ventricular tachycardia (VT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA).EpinephrineIndication: Epinephrine is the first-line drug for all cardiac arrest rhythms.Mechanism of Action: Epinephrine...
416
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
159
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
191
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
216
Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
195
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
524