Trends in Coronary Angiography, Revascularization, and Outcomes of Cardiogenic Shock Complicating Non–ST-Elevation Myocardial Infarction

• Published in: The American journal of cardiology 2016, Vol.117 (1), p.1-9
• Main Authors: Kolte, Dhaval, MD, PhD, Khera, Sahil, MD, Dabhadkar, Kaustubh C., MD, MPH, Agarwal, Shikhar, MD, MPH, Aronow, Wilbert S., MD, Timmermans, Robert, MD, Jain, Diwakar, MD, Cooper, Howard A., MD, Frishman, William H., MD, Menon, Venu, MD, Bhatt, Deepak L., MD, MPH, Abbott, J. Dawn, MD, Fonarow, Gregg C., MD, Panza, Julio A., MD
• Format: Article
• Language: English
• Subjects: Aged; Cardiology; Cardiovascular; Coronary Angiography - trends; Electrocardiography; Female; Heart attacks; Hospitalization; Humans; Incidence; Male; Mortality; Myocardial Infarction - complications; Myocardial Infarction - diagnostic imaging; Myocardial Infarction - surgery; Myocardial Revascularization - trends; Registries; Retrospective Studies; Shock, Cardiogenic - epidemiology; Shock, Cardiogenic - etiology; Shock, Cardiogenic - therapy; Survival Rate - trends; Trends; United States - epidemiology
• ISSN: 0002-9149; 1879-1913
• DOI: 10.1016/j.amjcard.2015.10.006

Early revascularization is the mainstay of treatment for cardiogenic shock (CS) complicating acute myocardial infarction. However, data on the contemporary trends in management and outcomes of CS complicating non–ST-elevation myocardial infarction (NSTEMI) are limited. We used the 2006 to 2012 Nationwide Inpatient Sample databases to identify patients aged ≥18 years with NSTEMI with or without CS. Temporal trends and differences in coronary angiography, revascularization, and outcomes were analyzed. Of 2,191,772 patients with NSTEMI, 53,800 (2.5%) had a diagnosis of CS. From 2006 to 2012, coronary angiography rates increased from 53.6% to 60.4% in patients with NSTEMI with CS (ptrend