Early revascularization is associated with improved survival in elderly patients with acute myocardial infarction complicated by cardiogenic shock: a report from the SHOCK Trial Registry

• Published in: European heart journal 2003-05, Vol.24 (9), p.828-837
• Main Authors: Dzavik, V., Sleeper, L.A., Cocke, T.P., Moscucci, M., Saucedo, J., Hosat, S., Jiang, X., Slater, J., LeJemtel, T., Hochman, J.S.
• Format: Article
• Language: English
• Subjects: Age; Aged; Cardiogenic shock; CK(-MB); creatine kinase (-MB); Data Collection; ECG; Elderly; electrocardiogram; electrocardiography; Female; Global Utilization of Streptokinase and TPA (alteplase) for Occluded coronary arteries; GUSTO-I; Humans; IABP; intra-aortic balloon pump; Male; myocardial infarction; Myocardial Infarction - complications; Myocardial Infarction - mortality; Myocardial Infarction - therapy; Myocardial Revascularization - methods; Myocardial Revascularization - mortality; PCI; percutaneous coronary intervention; Prognosis; Prospective Studies; Registries; Revascularization; SHOCK; Shock, Cardiogenic - complications; Shock, Cardiogenic - mortality; SHould we emergently revascularize Occluded Coronaries in cardiogenic shocK?; Survival; Survival Analysis; Thrombolysis In Myocardial Infarction; TIMI
• ISSN: 0195-668X; 1522-9645
• DOI: 10.1016/S0195-668X(02)00844-8

Aims The SHould we emergently revascularize Occluded Coronaries in cardiogenic shocK (SHOCK) Trial showed no benefit of early revascularization in patients aged ≥75 years with acute myocardial infarction and cardiogenic shock. We examined the effect of age on treatment and outcomes of patients with cardiogenic shock in the SHOCK Trial Registry. Methods and results We compared clinical and treatment factors in patients in the SHOCK Trial Registry with shock due to pump failure aged