Cardiogenic shock archivos - Perfusfind Intensive Care

Mixed Cardiogenic-Vasodilatory Shock: Current Insights and Future Directions

Abstract This state-of-the-art review defines mixed cardiogenic–vasodilatory shock as overt hypotension with end-organ hypoperfusion arising from the combination of acute cardiac insufficiency (low cardiac output) and inappropriate systemic vasodilation, typically with normal or elevated filling pressures; it introduces a pragmatic three-group classification (cardiogenic-vasodilatory, vasodilatory-cardiogenic, and primary mixed shock), emphasizes invasive hemodynamic monitoring, and outlines management […]

cardiac insufficiency, Cardiogenic shock, vasodilation, vasodilatory shock

Mixed Cardiogenic-Vasodilatory Shock: Current Insights and Future Directions Read Post »

Cardiovascular

Prognostic implication of venoarterial extracorporeal membrane oxygenation in acute myocardial infarction-related cardiogenic shock

Summary This retrospective study aimed to evaluate clinical outcomes in patients receiving veno-arterial extracorporeal membrane oxygenation (VA-ECMO) for cardiogenic shock (CS), comparing acute myocardial infarction-related cardiogenic shock (AMI-CS) with non-AMI-CS. Analysis of data from 667 patients treated between 2008 and 2023 showed that AMI-CS was associated with significantly lower in-hospital mortality compared to non-AMI-CS. Independent

acute myocardial infarction, Cardiogenic shock, ecmo, VA-ecmo

Prognostic implication of venoarterial extracorporeal membrane oxygenation in acute myocardial infarction-related cardiogenic shock Read Post »

Cardiovascular

Cardiogenic shock syndrome unraveled: understanding the different layers of heterogeneity

Summary Cardiogenic shock (CS) represents a heterogeneous clinical syndrome characterized by sustained tissue hypoperfusion due to cardiac dysfunction, encompassing diverse etiological, hemodynamic, and molecular profiles. The paper emphasizes the need for recognizing CS heterogeneity through clinical classification, ventriculo-arterial coupling, macro- and microcirculatory considerations, and molecular subphenotyping. These multiple layers of complexity suggest that personalized medicine

Cardiogenic shock, Microcirculation

Cardiogenic shock syndrome unraveled: understanding the different layers of heterogeneity Read Post »

Cardiovascular

Management of cardiogenic shock: state-of-the-art

Abstract: Jung et al. provide a comprehensive review addressing current knowledge and contemporary practices in the management of cardiogenic shock (CS). Despite advancements, mortality remains high, and the complexity of patient care underscores the need for individualized treatments. The authors highlight recent evidence in pharmacological therapies, mechanical circulatory support (MCS), and the potential for personalized

Cardiogenic shock, mechanical circulatory support

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Uncategorized

Timing of mechanical ventilation and its association with in-hospital outcomes in patients with cardiogenic shock following ST-elevation myocardial infarction: a multicentre observational study

Summary: Timing of mechanical ventilation and its association with in-hospital outcomes in patients with cardiogenic shock following ST-elevation myocardial infarction: a multicentre observational study Abstract Summary: This multicentre observational study by Arabi and colleagues investigates the impact of mechanical ventilation (MV) timing on outcomes in 672 patients with STEMI complicated by cardiogenic shock (CS). The

Cardiogenic shock, mechanical ventilation

Timing of mechanical ventilation and its association with in-hospital outcomes in patients with cardiogenic shock following ST-elevation myocardial infarction: a multicentre observational study Read Post »

Cardiovascular

Association between mean hemodynamic variables during the first 24 h and outcomes in cardiogenic shock: identification of clinically relevant thresholds

Summary of “Association between mean hemodynamic variables during the first 24 h and outcomes in cardiogenic shock: identification of clinically relevant thresholds” Abstract: This study investigated the association between mean hemodynamic variables within the first 24 hours and outcomes in patients with cardiogenic shock (CS). Using data from two prospective cohorts (OptimaCC and MicroShock), researchers

Cardiogenic shock, hemodynamics

Association between mean hemodynamic variables during the first 24 h and outcomes in cardiogenic shock: identification of clinically relevant thresholds Read Post »

Circulatory, Sepsis

Venoarterial extracorporeal membrane oxygenation to rescue sepsis-induced cardiogenic shock: a retrospective, multicentre, international cohort study

Summary Background Patients with sepsis-induced cardiomyopathy with cardiogenic shock have a high mortality. This study assessed venoarterial extracorporeal membrane oxygenation (VA-ECMO) support for sepsis-induced cardiogenic shock refractory to conventional treatments. Methods In this retrospective, multicentre, international cohort study, we compared outcomes of 82 patients (aged ≥18 years) with septic shock who received VA-ECMO at

Cardiogenic shock, ecmo, sepsis, VA-ecmo

Venoarterial extracorporeal membrane oxygenation to rescue sepsis-induced cardiogenic shock: a retrospective, multicentre, international cohort study Read Post »

Circulatory, Sepsis

Venoarterial extracorporeal membrane oxygenation to rescue sepsis-induced cardiogenic shock: a retrospective, multicentre, international cohort study

Cardiogenic shock, ecmo, sepsis, VA-ecmo

Venoarterial extracorporeal membrane oxygenation to rescue sepsis-induced cardiogenic shock: a retrospective, multicentre, international cohort study Read Post »

Circulatory

Cardiogenic shock

Summary Cardiogenic shock is a complex syndrome defined by systemic hypoperfusion and inadequate cardiac output arising from a wide array of underlying causes. Although the understanding of cardiogenic shock epidemiology, specific subphenotypes, haemodynamics, and cardiogenic shock severity staging has evolved, few therapeutic interventions have shown survival benefit. Results from seminal randomised controlled trials support early

Cardiogenic shock

Cardiogenic shock Read Post »