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Review
. 2022 May 1;57(5):617-629.
doi: 10.1097/SHK.0000000000001921.

A Comprehensive Appraisal of Risk Prediction Models for Cardiogenic Shock

Anusha G Bhat  1   2 , Sean van Diepen  3 , Jason N Katz  4 , Ashequl Islam  1 , Benham N Tehrani  5 , Alexander G Truesdell  5 , Navin K Kapur  6 , David R Holmes Jr  7 , Venugopal Menon  8 , Wissam A Jaber  9 , William J Nicholson  9 , David X Zhao  10 , Saraschandra Vallabhajosyula  9   10
Affiliations
Review

A Comprehensive Appraisal of Risk Prediction Models for Cardiogenic Shock

Anusha G Bhat et al. Shock. .

Abstract

Despite advances in early revascularization, percutaneous hemodynamic support platforms, and systems of care, cardiogenic shock (CS) remains associated with a mortality rate higher than 50%. Several risk stratification models have been derived since the 1990 s to identify patients at high risk of adverse outcomes. Still, limited information is available on the differences between scoring systems and their relative applicability to both acute myocardial infarction and advanced decompensated heart failure CS. Thus, we reviewed the similarities, differences, and limitations of published CS risk prediction models and herein discuss their suitability to the contemporary management of CS care.

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Conflict of interest statement

The authors report no conflicts of interest.

References

    1. van Diepen S, Katz JN, Albert NM, Henry TD, Jacobs AK, Kapur NK, Kilic A, Menon V, Ohman EM, Sweitzer NK, et al. Contemporary management of cardiogenic shock: a scientific statement from the American Heart Association. Circulation 136 (16):e232–e268, 2017.
    1. Vallabhajosyula S, Dunlay SM, Bell MR, Miller PE, Cheungpasitporn W, Sundaragiri PR, Kashani K, Gersh BJ, Jaffe AS, Holmes DR, et al. Epidemiological trends in the timing of in-hospital death in acute myocardial infarction- cardiogenic shock in the United States. J Clin Med 9 (7):2094, 2020.
    1. Vallabhajosyula S, Payne SR, Jentzer JC, Sangaralingham LR, Yao X, Kashani K, Shah ND, Prasad A, Dunlay SM. Long-term outcomes of acute myocardial infarction with concomitant cardiogenic shock and cardiac arrest. Am J Cardiol 133:15–22, 2020.
    1. Jentzer JC, Ahmed AM, Vallabhajosyula S, Burstein B, Tabi M, Barsness GW, Murphy JG, Best PJ, Bell MR. Shock in the cardiac intensive care unit: changes in epidemiology and prognosis over time. Am Heart J 232:94–104, 2021.
    1. Basir MB, Schreiber T, Dixon S, Alaswad K, Patel K, Almany S, Khandelwal A, Hanson I, George A, Ashbrook M, et al. Feasibility of early mechanical circulatory support in acute myocardial infarction complicated by cardiogenic shock: the Detroit cardiogenic shock initiative. Catheter Cardiovasc Interv 91 (3):454–461, 2018.