AMI Cardiogenic Shock

Patient Identification

Early Identification of Cardiogenic Shock Improves Outcomes

Timely treatment adhering to a best practice protocol that includes early use of mechanical circulatory support, hemodynamic monitoring, and aggressive reduction of inotropes and pressors, can help patients achieve myocardial recovery.1

Patient Identification Resources

NCSI Study Algorithm

Identify patients who need hemodynamic support using the best practices learned in the National Cardiogenic Shock Initiative (NCSI) Study.

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SCAI Stages of Cardiogenic Shock

Rapidly assess patients and facilitate better communication between clinicians using the Society for Cardiovascular Angiography & Intervention (SCAI) shock pyramid.

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Abiomed's Cardiogenic Shock Guidelines

Using a defined protocol that includes best practice protocols derived from real-world data for the treatment of cardiogenic shock has been associated with improved outcomes. 

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Resources from the Education Library

 

Implementing a Cardiogenic Shock Protocol to Improve Outcomes

Alexander Truesdell, MD, and Benham Tehrani, MD, discuss their experience implementing a cardiogenic shock protocol at Inova Heart & Vascular Institute.

 

Cardiogenic Shock Working Group and SCAI Shock Stages

Navin Kapur, MD, provides an update from the Cardiogenic Shock Working Group and discusses the SCAI shock stages

 

Final Results from the NCSI Study Demonstrate the Benefit of Early Cardiac Unloading with Impella

The final results of the physician-led NCSI Study demonstrate a 71% survival to discharge with greater than 90% native heart recovery when best practices are used, including placement of an Impella heart pump prior to revascularization (PCI).

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Clinical Evidence

References

  1. O'Neill, W.W., TCT 2020.

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