Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Jul 2;140(1):98-100.
doi: 10.1161/CIRCULATIONAHA.119.040654. Epub 2019 Jul 1.

Shock Team Approach in Refractory Cardiogenic Shock Requiring Short-Term Mechanical Circulatory Support: A Proof of Concept

Iosif Taleb  1 , Antigone G Koliopoulou  2   3 , Anwar Tandar  1   3 , Stephen H McKellar  2   3 , Joseph E Tonna  2   3 , Jose Nativi-Nicolau  1   3 , Miguel Alvarez Villela  1 , Frederick Welt  1   3 , Josef Stehlik  1   3 , Edward M Gilbert  1   3 , Omar Wever-Pinzon  1   3 , Jack H Morshedzadeh  1   3 , Elizabeth Dranow  1 , Craig H Selzman  2   3 , James C Fang  1   3 , Stavros G Drakos  1   3
Affiliations

Shock Team Approach in Refractory Cardiogenic Shock Requiring Short-Term Mechanical Circulatory Support: A Proof of Concept

Iosif Taleb et al. Circulation. .
No abstract available

Keywords: heart failure; intensive care units; myocardial infarction; shock, cardiogenic; survival analysis.

PubMed Disclaimer

Figures

Figure.
Figure.. Shock Team approach appears to be feasible and beneficial in the management of refractory cardiogenic shock
A. Baseline characteristics of study population. Data expressed as mean ± standard error of the mean (SE) or n (%). COPD: Chronic obstructive pulmonary disease; HFrEF: Heart failure reduced ejection fraction; ACS: Acute coronary syndrome; CPR: Cardiopulmonary resuscitation; MCS: Mechanical circulatory support; BP: Blood pressure; RAP: Right atrial pressure; PCWP: Pulmonary capillary wedge pressure; CI: Cardiac index; SVR: Systemic vascular resistance; LVEF: Left ventricular ejection fraction; IABP: Intra-aortic balloon pump; VA-ECMO: Veno-arterial extracorporeal membrane oxygenation; UoU: University of Utah hospital; B. Shock Team algorithm and adjusted Kaplan Meier 30-day survival. *Criteria for considering s-t MCS: a. Low Systemic Blood Pressure: SBP <90 mmHg OR MAP <50 mmHg for >30 mins OR needed IV vasoactive agents infusion to maintain SBP>90 mmHg or MAP>50 mmHg, plus ONE of the following: PCWP or LVEDP>15 mmHg and CI<2.2 L/min/m2, OR signs of pulmonary edema, OR impaired end-organ perfusion defined as: altered mental status; cold, clammy skin and extremities; urine output <30 ml/h HF: Heart failure; CT: Cardiothoracic; CVICU: Cardiovascular intensive care unit; STEMI: ST-elevation myocardial infarction; LVEDP: Left ventricular end-diastolic pressure; s-t MCS: Short-term mechanical circulatory support; PCI: Percutaneous coronary intervention; RHC: Right heart catheterization; CCO: Continuous cardiac output; LHC: Left heart catheterization
See this image and copyright information in PMC

References

    1. Tchantchaleishvili V, Hallinan W and Massey HT. Call for Organized Statewide Networks for Management of Acute Myocardial Infarction-Related Cardiogenic Shock. JAMA Surg. 2015;150:1025–6. - PubMed
    1. van Diepen S, Katz JN, Albert NM, Henry TD, Jacobs AK, Kapur NK, Kilic A, Menon V, Ohman EM, Sweitzer NK, Thiele H, Washam JB, Cohen MG, American Heart Association Council on Clinical C, Council on C, Stroke N, Council on Quality of C, Outcomes R and Mission L. Contemporary Management of Cardiogenic Shock: A Scientific Statement From the American Heart Association. Circulation. 2017;136:e232–e268. - PubMed
    1. Rab T, Ratanapo S, Kern KB, Basir MB, McDaniel M, Meraj P, King SB 3rd, and O’Neill W Cardiac Shock Care Centers: JACC Review Topic of the Week. J Am Coll Cardiol. 2018;72:1972–1980. - PubMed
    1. Takayama H, Truby L, Koekort M, Uriel N, Colombo P, Mancini DM, Jorde UP and Naka Y. Clinical outcome of mechanical circulatory support for refractory cardiogenic shock in the current era. J Heart Lung Transplant. 2013;32:106–11. - PubMed
    1. Tehrani BN, Truesdell AG, Sherwood MW, Desai S, Tran HA, Epps KC, Singh R, Psotka M, Shah P, Cooper LB, Rosner C, Raja A, Barnett SD, Saulino P, deFilippi CR, Gurbel PA, Murphy CE and O’Connor CM. Standardized Team-Based Care for Cardiogenic Shock. J Am Coll Cardiol. 2019;73:1659–1669. - PubMed

Publication types