Advocacy and Legislation for Regionalization Practices in the Treatment of Cardiogenic Shock: The Time Is Now
- PMID: 39600852
- PMCID: PMC11588173
- DOI: 10.15420/usc.2021.14
Advocacy and Legislation for Regionalization Practices in the Treatment of Cardiogenic Shock: The Time Is Now
Abstract
Cardiogenic shock is a complex hemodynamic state that, despite improvements in care, often remains challenging to treat and confers a high mortality rate. Timely application of advanced strategies, including advanced hemodynamic management and mechanical circulatory support, is of the utmost importance for this critically ill patient population. Based on data and historic experiences with similar life-threatening conditions, a national system in the US of regionalized, structured care for patients with cardiogenic shock has the potential to improve outcomes and save lives. To enact this, national and state leaders, as well as federal regulatory bodies, physician thought leaders, industry representatives, and national organizations, must collaborate and advocate for a clear, structured cardiac shock center network with a tiered model for delivery of care for the sickest population of cardiac patients.
Keywords: Cardiogenic shock; advocacy; ischemic cardiomyopathy; legislation; shock center network.
Copyright © The Author(s), 2022. Published by Radcliffe Group Ltd.
Conflict of interest statement
Disclosure: The authors have no conflicts of interest to declare.
Figures
References
-
- Goldberg RJ, Makam RC, Yarzebski J et al. Decade-long trends (2001–11) in the incidence and hospital death rates associated with the in-hospital development of cardiogenic shock after acute myocardial infarction. Circ Cardiovasc Qual Outcomes. 2016;9:117–25. doi: 10.1161/CIRCOUTCOMES.115.002359. - DOI - PMC - PubMed
Publication types
LinkOut - more resources
Full Text Sources