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Updated: Dec 14, 2025

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
Multidisciplinary Code Shock Team in Cardiogenic Shock: A Canadian Centre Experience
Felicity Lee1, Jordan H Hutson1, Munir Boodhwani2
1Division of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
A multidisciplinary "Code Shock Team" approach for cardiogenic shock (CS) is feasible. This specialized team may improve long-term survival rates for patients with this critical condition.
Area of Science:
- Cardiology
- Critical Care Medicine
- Interdisciplinary Healthcare
Background:
- Cardiogenic shock (CS) presents a significant mortality challenge.
- A novel
Purpose of the Study:
- To evaluate the impact of a multidisciplinary
Main Methods:
- A retrospective review of 100 patients with CS over 52 months.
- Comparison of patients managed under a Code Shock Team protocol (n=64) versus standard care (n=36).
- Analysis of clinical acuity markers, interventions, and survival outcomes.
Main Results:
- No significant differences in baseline clinical acuity or short-term survival (30-day and hospital discharge).
- The Code Shock Team group showed a trend towards increased use of temporary mechanical circulatory support (45% vs 28%).
- A statistically significant improvement in long-term survival was observed in the Code Shock Team group (67% vs 42% at 240 days, P=0.03).
Conclusions:
- A multidisciplinary Code Shock Team approach for cardiogenic shock is feasible.
- This collaborative model may be associated with improved long-term survival outcomes for CS patients.
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