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Review
. 2022 May 1;37(3):236-240.
doi: 10.1097/HCO.0000000000000957. Epub 2022 Mar 11.

The landscape of cardiogenic shock: epidemiology and current definitions

Cesar Palacios Ordonez  1 , Arthur Reshad Garan
Affiliations
Review

The landscape of cardiogenic shock: epidemiology and current definitions

Cesar Palacios Ordonez et al. Curr Opin Cardiol. .

Abstract

Purpose of review: Despite novel technologies for treating shock patients, cardiogenic shock mortality remains high. Trends of cardiogenic shock associated with acute myocardial infarction (AMI) have previously been described, though little is known about cardiogenic shock resulting from other causes, which has progressively been documented as a distinct entity from AMI-cardiogenic shock. Herein, we review the evolving epidemiology, novel classification schema, and future perspectives of cardiogenic shock.

Recent findings: While AMI or mechanical complications of AMI are the most common causes, the incidence of etiologies of cardiogenic shock not related to AMI, particularly acute on chronic heart failure, may be increasing, with a growing burden of noncoronary structural heart disease.

Summary: Mortality in cardiogenic shock remains high. Overall, these findings highlight the need to address the lack of effective treatments in this field, particularly for cardiogenic shock caused by diseases other than AMI. Novel classification systems may facilitate cardiogenic shock research.

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References

    1. Reynolds HR, Hochman JS. Cardiogenic shock current concepts and improving outcomes. Circulation 2008; 117:686–697.
    1. Berg DD, Bohula EA, vanDiepen S, et al. Epidemiology of shock in contemporary cardiac intensive care units: data from the Critical Care Cardiology Trials Network Registry. Circ Cardiovasc Qual Outcomes 2019; 12:e005618.
    1. Temporelli PL, Giannuzzi P, Nicolosi GL, et al. Doppler assessment of LV function doppler-derived mitral deceleration time as a strong prognostic marker of left ventricular remodeling and survival after acute myocardial infarction results ofthe GISSI-3 echo substudy. J Am Coll Cardiol 2004; 43:1646–1653.
    1. Malick W, Fried JA, Masoumi A, et al. Comparison of the hemodynamic response to intra-aortic balloon counterpulsation in patients with cardiogenic shock resulting from acute myocardial infarction versus acute decompen-sated heart failure. Am J Cardiol 2019; 124:1947–1953.
    1. Hochman JS, Buller CE, Sleeper LA, et al. Cardiogenic shock complicating acute myocardial infarction-etiologies, management and outcome: a report from the SHOCK trial registry. J Am Coll Cardiol 2000; 36:1063–1070.