Timing and treatment strategies according to SCAI classification in cardiogenic shock

Author:

Tarantini Giuseppe1,Masiero Giulia1,Thiele Holger2,Iannaccone Mario3,Schrage Benedikt45,Hassager Christian67,Woitek Felix8,Chieffo Alaide910,Møller Jacob Eifer1112

Affiliation:

1. Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua Medical School , Padua , Italy

2. Department of Cardiology, Heart Center Leipzig at University of Leipzig and Leipzig Heart Science , Leipzig , Germany

3. Division of Cardiology San Giovanni Bosco Hospital , ASL Città di Torino , Turin, Italy

4. Department of Cardiology, University Heart and Vascular Centre Hamburg , Hamburg , Germany

5. German Center for Cardiovascular Research (DZHK), Partner Site Hamburg/Lübeck/Kiel , Hamburg , Germany

6. Department of Cardiology, Copenhagen University Hospital, Rigshospitalet , Copenhagen , Denmark

7. Department of Clinical Medicine, University of Copenhagen , Copenhagen , Denmark

8. Department of Internal Medicine and Cardiology, Technische Universität Dresden, Herzzentrum Dresden, University Clinic , Dresden , Germany

9. Vita-Salute San Raffaele University , Milan , Italy

10. Interventional Cardiology Unit, San Raffaele Scientific Institute , Milan , Italy

11. Cardiac Intensive Care Unit, Heart Center, Copenhagen University Hospital, Rigshospitalet , Blegdamsvej 9, 2100 Copenhagen , Denmark

12. Department of Cardiology, Odense University Hospital , JB Winsløvvej 4, 5000 Odense , Denmark

Abstract

Abstract In patients with cardiogenic shock (CS), particularly those with acute myocardial infarction (AMI), evidence suggests that timely diagnosis and treatment interventions are critical in the prevention of haemo-metabolic compromise. Temporary mechanical circulatory support (tMCS) has shown potential in facilitating revascularization and recovery of patients with acute myocardial infarction cardiogenic shock (AMI-CS). Timing of treatment strategies for CS patients needs to be optimized for use of tMCS devices that are applicable to this heterogeneous patient population. Here, the latest evidence as well as the gaps in knowledge surrounding the role of time in the management of patients with CS is summarized.

Funder

Abiomed Europe GmbH

Abiomed GmbH

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine

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