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
. 2024 Apr 17;26(Suppl 1):i78-i83.
doi: 10.1093/eurheartjsupp/suae023. eCollection 2024 Apr.

The golden hour in shock management: do a lot, do it quickly

Marco Marini  1 , Sara Belleggia  1 , Leonardo Brugiatelli  1 , Matteo Francioni  1 , Ilaria Battistoni  1 , Matilda Shkoza  1 , Giulia Pongetti  1 , Luca Angelini  1 , Leonardo Belfioretti  1 , Maria Vittoria Matassini  1
Affiliations

The golden hour in shock management: do a lot, do it quickly

Marco Marini et al. Eur Heart J Suppl. .

Abstract

Cardiogenic shock can be defined as a state of inadequate organ perfusion linked primarily to cardiac pump dysfunction. The two predominant causes of this condition are acute myocardial infarction and acutely decompensated heart failure (ADHF). In recent years, a significant increase in cases of cardiogenic shock from ADHF has been described. Recent evidence has defined that the factors with the greatest impact on the prognosis in this context are the early clinical assessment, the definition of the aetiology, the timely application of pharmacological therapies, or individualized mechanical supports for the circulation. Haemodynamic monitoring can help in the phenotyping of cardiogenic shock and therefore guide therapeutic choices, especially if implemented with the aid of advanced monitoring tools such as the Swan-Ganz catheter. Finally, the presence of a dedicated shock team in the 'hub' centres is fundamental, which facilitates the choice of the best therapeutic strategy on a case-by-case basis.

Keywords: Cardiogenic shock; Golden hour; Shock team.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest: none declared.

Figures

Figure 1
Figure 1
Modified from Polyzogopoulou E., Bezati S., Karamasis G., Boultadakis A., Parissis J. Early Recognition and Risk Stratification in Cardiogenic Shock: Well Begun Is Half Done. J Clin Med. 2023 Apr 1; 12(7):2643.
See this image and copyright information in PMC

References

    1. Rathod KS, Koganti S, Iqbal MB, Jain AK, Kalra SS, Astroulakis Zet al. . Contemporary trends in cardiogenic shock: incidence, intra-aortic balloon pump utilisation and outcomes from the London Heart Attack group. Eur Heart J Acute Cardiovasc Care 2018;7:16–27. - PubMed
    1. Shah M, Patnaik S, Patel B, Ram P, Garg L, Agarwal Met al. . Trends in mechanical circulatory support use and hospital mortality among patients with acute myocardial infarction and non-infarction related cardiogenic shock in the United States. Clin Res Cardiol 2018;107:287–303. - PubMed
    1. Jentzer JC, Burstein B, Van Diepen S, Murphy J, Holmes DR, Bell MRet al. . Defining shock and preshock for mortality risk stratification in cardiac intensive care unit patients. Circ Heart Fail 2021;14:e007678. - PubMed
    1. Kapur NK, Kanwar M, Sinha SS, Thayer KL, Garan AR, Hernandez-Montfort Jet al. . Criteria for defining stages of cardiogenic shock severity. J Am Coll Cardiol 2022;80:185–198. - PubMed
    1. Mebazaa A, Tolppanen H, Mueller C, Lassus J, DiSomma S, Baksyte Get al. . Acute heart failure and cardiogenic shock: a multidisciplinary practical guidance. Intensive Care Med 2016;42:147–163. - PubMed

LinkOut - more resources