Outcomes of cardiogenic shock complicating acute coronary syndromes

Objectives We aimed to assess the outcomes of cardiogenic shock (CS) complicating acute coronary syndromes (ACS). Background CS remains the leading cause of mortality in patients presenting with ACS despite advances in care. Methods We studied 13,184 patients undergoing percutaneous coronary interve...

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Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2020-09, Vol.96 (3), p.E257-E267
Main Authors: Noaman, Samer, Andrianopoulos, Nick, Brennan, Angela L., Dinh, Diem, Reid, Christopher, Stub, Dion, Biswas, Sinjini, Clark, David, Shaw, James, Ajani, Andrew, Freeman, Melanie, Yip, Thomas, Oqueli, Ernesto, Walton, Antony, Duffy, Stephen J., Chan, William
Format: Article
Language:English
Subjects:
Acute Coronary Syndrome - complications
Acute Coronary Syndrome - diagnosis
Acute Coronary Syndrome - mortality
Acute Coronary Syndrome - therapy
Acute coronary syndromes
acute myocardial infarction/STEMI
Aged
Australia
Cause of Death
Comorbidity
Coronary Artery Bypass
Diabetes mellitus
Female
Glomerular filtration rate
Health Status
Heart
heart failure
Hospital Mortality
Humans
Male
Middle Aged
Mortality
Myocardial infarction
Patients
Percutaneous Coronary Intervention
Registries
Retrospective Studies
Risk Assessment
Risk Factors
Shock, Cardiogenic - diagnosis
Shock, Cardiogenic - etiology
Shock, Cardiogenic - mortality
Shock, Cardiogenic - therapy
ST Elevation Myocardial Infarction - complications
ST Elevation Myocardial Infarction - diagnosis
ST Elevation Myocardial Infarction - mortality
ST Elevation Myocardial Infarction - therapy
Time Factors
Treatment Outcome
Ventricle
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Summary:Objectives We aimed to assess the outcomes of cardiogenic shock (CS) complicating acute coronary syndromes (ACS). Background CS remains the leading cause of mortality in patients presenting with ACS despite advances in care. Methods We studied 13,184 patients undergoing percutaneous coronary intervention (PCI) for all subtypes of ACS enrolled prospectively in a large multicentre Australian registry (Melbourne Interventional Group registry) from 2005 to 2013. All‐cause mortality was obtained via linkage to the National Death Index. Patients were divided into those with and those without CS. Results Compared to the non‐CS group (n = 12,548, 95.2%), the CS group (n = 636, 4.8%) had a higher proportion of out‐of‐hospital cardiac arrest (OHCA) (31.1 vs. 2.2%) and ST‐elevation myocardial infarction (STEMI) presentation (89 vs. 34%), both p
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.28759