Outcome in Elderly Patients With Cardiogenic Shock Complicating Acute Myocardial Infarction

Despite advances in treatment of patients with cardiogenic shock following acute myocardial infarction (AMICS) in-hospital mortality remains around 50%. Outcome varies among patient subsets and the elderly often have a poor a priori prognosis. We sought to investigate outcome among elderly AMICS pat...

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Published in:Shock (Augusta, Ga.) Ga.), 2022-03, Vol.57 (3), p.327-335
Main Authors: Ratcovich, Hanna Louise, Josiassen, Jakob, Helgestad, Ole Kristian Lerche, Linde, Louise, Jensen, Lisette Okkels, Ravn, Hanne Berg, Joshi, Francis R., Engstrøm, Thomas, Schmidt, Henrik, Hassager, Christian, Møller, Jacob E., Holmvang, Lene
Format: Article
Language:English
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Summary:Despite advances in treatment of patients with cardiogenic shock following acute myocardial infarction (AMICS) in-hospital mortality remains around 50%. Outcome varies among patient subsets and the elderly often have a poor a priori prognosis. We sought to investigate outcome among elderly AMICS patients referred to evaluation and treatment at a tertiary university hospital. Current analysis was based on the RETROSHOCK registry comprising consecutive AMICS patients admitted to tertiary care. Patients in the registry were individually identified and validated. Of 1,716 admitted patients, 496 (28.9%) patients were ≥75 years old. Older patients were less likely to be admitted directly to a tertiary centre (59.4% vs. 69.9%, P = 0.003), receive mechanical support devices (i.e., Impella® (8.9% vs. 15.0%, P = 0.003), and undergo revascularization attempt (76.8% vs. 90.2%, P 
ISSN:1073-2322
1540-0514
DOI:10.1097/SHK.0000000000001837