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Review
. 2020 Jan-Mar;16(1):50-56.
doi: 10.14797/mdcj-16-1-50.

Systems of Care in Cardiogenic Shock

Affiliations
Review

Systems of Care in Cardiogenic Shock

Maria M Patarroyo Aponte et al. Methodist Debakey Cardiovasc J. 2020 Jan-Mar.

Abstract

Cardiogenic shock presents a significant challenge to the medical community, and there is much debate as to the best classification system and treatment mechanisms. As interventions and technologies improve, systems of care for patients with cardiogenic shock must evolve as well. This review describes the current treatment models for cardiogenic shock, including the "hub-and-spoke" model, and defines specific characteristics of the ideal system of care for this patient population.

Keywords: cardiogenic shock; heart failure; system of care.

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Conflict of interest statement

Conflict of Interest Disclosure: The authors have completed and submitted the Methodist DeBakey Cardiovascular Journal Conflict of Interest Statement and none were reported.

Figures

Figure 1.
Figure 1.
The National Cardiogenic Shock Initiative algorithm for rapid recognition and triage of patients with AMI and cardiogenic shock or cardiac arrest. AMI: acute myocardial infarction; CHF-CS: congestive heart failure with cardiogenic shock; LTAC: long-term acute care; SNF: skilled nursing facility; PVAD: percutaneous ventricular assist device.

References

    1. van Diepen S, Katz JN, Albert NM et al. Contemporary Management of Cardiogenic Shock: A Scientific Statement From the American Heart Association. Circulation. 2017 Oct 17;136(16):e232–e268. American Heart Association Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Quality of Care and Outcomes Research; and Mission: Lifeline. - PubMed
    1. Jaroszewski DE, Kleisli T, Staley L et al. A traveling team concept to expedite the transfer and management of unstable patients in cardiopulmonary shock. J Heart Lung Transplant. 2011 Jun;30(6):618–23. - PubMed
    1. Hollenberg SM, Kavinsky CJ, Parrillo JE. Cardiogenic shock. Ann Intern Med. 1999 Jul 6;131(1):47–59. - PubMed
    1. Reynolds HR, Hochman JS. Cardiogenic shock: current concepts and improving outcomes. Circulation. 2008 Feb 5;117(5):686–97. - PubMed
    1. Hochman JS. Cardiogenic shock complicating acute myocardial infarction: expanding the paradigm. Circulation. 2003 Jun 24;107(24):2998–3002. - PubMed

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