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Updated: Jun 5, 2025

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
Blueprint for Building and Sustaining a Cardiogenic Shock Program: Qualitative Survey of 12 US Programs
Raymond M Yau1, Robyn Mitchell1, Aasim Afzal2
1Heart Hospital of New Mexico, Albuquerque, New Mexico.
Background:
Multidisciplinary cardiogenic shock (CS) programs have been associated with improved outcomes, yet practical guidance for developing a CS program is lacking.
Methods:
A survey on CS program development and operational best practices was administered to 12 institutions in diverse sociogeographic regions and practice settings. Common steps in program development were identified.
Results:
Key steps for program development were identified: measuring baseline outcomes; identifying subspecialty champions; gaining leadership and team buy-in; developing institution-specific CS protocols; educating staff and referring providers; consulting with external experts; and developing quality assessment and process improvement.
Conclusions:
An assessment of 12 US CS programs highlights a blueprint for establishing and maintaining a successful, multidisciplinary shock program.
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