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Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
Systems of Care in Cardiogenic Shock: Team-Based Management, Shock Networks, and Post Discharge Pathways
Yasser Jamil1, Andrew H Nguyen1, Ilan Vavilin1
1Inova Center of Outcomes Research, Falls Church, VA 22042, USA.
Insights
Cardiogenic shock (CS) is a critical condition with high mortality. This review explores team-based care models and innovative strategies like AI and telemedicine to improve CS management and patient outcomes.
Area of Science:
- Cardiology
- Intensive Care Medicine
- Health Systems Research
Background:
- Cardiogenic shock (CS) is the primary cause of death in cardiac intensive care units.
- Effective CS management requires a coordinated, multidisciplinary approach, yet remains challenging.
- Technological advancements have not fully overcome the difficulties in timely CS recognition and treatment.
Purpose of the Study:
- To review stabilizing measures for cardiogenic shock.
- To define team-based care models in hub-and-spoke networks for CS.
- To explore barriers and highlight innovations in CS management.
Main Methods:
- Literature review of cardiogenic shock management strategies.
- Analysis of team-based care models and operational workflows.
- Exploration of emerging technologies and innovations in CS care.
Main Results:
- Identified key stabilizing measures for cardiogenic shock.
- Defined structures and workflows for team-based CS care in networks.
- Highlighted feasibility barriers and innovative solutions.
- Examined artificial intelligence, mobile ECMO, telemedicine, and biomarker-guided phenotyping.
Conclusions:
- Coordinated, patient-centered, multidisciplinary approaches are essential for CS.
- Innovative strategies including AI, telemedicine, and mobile ECMO show promise for improving CS outcomes.
- Addressing feasibility barriers is crucial for implementing advanced CS care models.
Abstract:
Cardiogenic shock (CS) remains the leading cause of mortality in modern cardiac intensive care unit, most often precipitated by acute or chronically decompensated heart failure or acute myocardial infarction. Despite technologic advances, timely recognition and effective management of CS remain challenging and demand a coordinated, patient-centered and multidisciplinary approach. In this review, we examine the spectrum of stabilizing measures, define the structure and operational workflows of team-based models in hub-and-spoke networks, explore key feasibility barriers, and we further highlight emerging innovations including artificial intelligence-enabled decision support, mobile extracorporeal membrane oxygenation retrieval, telemedicine, and biomarker-guided phenotyping.
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