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Cardiogenic Shock - Europe PMC

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Last Updated: 10 September 2022

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Cardiogenic shock due to yew poisoning rescued by VA-ECMO: case report and literature review.

Ingestion of leaves of the European yew tree can result in fatal cardiac arrestrhythmias and acute cardiogenic shock. This paper emphasizes the role of intoxication as reversible causes of cardiac arrest and provides further insight to the growing body of published research, including the use of venoarterial extracorporeal membrane oxygenation in patients with yew poisoning and cardiogenic shock early in patients with yew poisoning and cardiogenic shock.

Source link: https://europepmc.org/article/MED/35942511


Incidence and outcomes of cardiogenic shock among women with spontaneous coronary artery dissection.

Methods Women admitted to the hospital for acute myocardial infarction with and without SCAD were identified by the United States National Readmission Database from October 1, 2015 to December 31, 2018. After accounting for baseline characteristics, we determined the prevalence of CS among women with and without SCAD, as well as odds for developing CS. Patients with SCAD were younger and had fewer comorbidities but had a higher risk of CS than those without SCAD and remained at an elevated risk after accounting for baseline comorbidities. Conclusions In a nationally representative sample of women admitted to AMI, we discovered that patients with SCAD had a higher risk of experiencing CS and required more frequent use of mechanical circulatory aid, but were more likely to recover to discharge than women with SCAD.

Source link: https://europepmc.org/article/MED/36073664


Characteristics and outcomes of patients presenting with acute myocardial infarction and cardiogenic shock during COVID-19.

During the coronavirus disease 2019 pandemic, the aim was to determine the characteristics and outcomes of patients with acute myocardial infarction and cardiogenic shock. Background The COVID-19 pandemic has posed difficulties in providing acute cardiovascular care. Patients presenting with AMICS during COVID-19 in the United States are not well represented by quality measures and findings. Methods We identified 406 patients from the National Cardiogenic Shock Initiative with AMICS and divided them into those presenting before and those presenting during the COVID-19 pandemic. Patients presenting during the pandemic were less likely to be black than those who were presenting prior. In adjusted logistic regression models, the COVID-19 period did not significantly correlate with survival to discharge or with 1-month survival despite having 1-month survival. Conclusions The care of patients presenting with AMICS has continued to be excellent among hospitals participating in the NCSI during the COVID-19 pandemic.

Source link: https://europepmc.org/article/MED/36073018


Mechanical Circulatory Support Devices for the Treatment of Cardiogenic Shock Complicating Acute Myocardial Infarction-A Review.

A challenging medical disorder associated with dismal prognosis is exacerbated by cardiogenic shock complicating acute myocardial infarction. This report explores the current use of short-term support devices in the aftermath of acute myocardial infarction, as well as the common difficulties associated with this procedure.

Source link: https://europepmc.org/article/MED/36079170


Right Heart Catheterization Timing and Outcomes of Cardiogenic Shock: Analysis from the National Readmission Database.

Introduction To Cardiogenic Using right heart catheterization is shown to have a significant mortality benefit, according to recent studies. Patients with cardiac arrest or who have a history of ventricular assist systems or heart transplantation were refused admission to the hospital. Complex samples multivariable logistic, cox, and linear regression models were used to determine the correlation between RHC timing in the index admission and in-hospital outcomes, as well as all-cause 30-day readmissions. RHC was more likely to occur in large teaching hospitals. Patients in the early RHC group had a reduced risk of AKI, a higher risk of MCS use, shorter LOS, lower hospital fees, and lower readmission rates compared to the late RHC group. Conclusions Early RHC was associated with reduced incidence of AKI, reduced LOS, total charges, and readmission rates with no change in survival, with no difference in survival. Despite higher mortality, a subgroup analysis of patients who did not receive MCS during the index admission showed similar results despite higher mortality.

Source link: https://europepmc.org/article/MED/36058343


Clinical Outcomes and Cost Associated With an Intravascular Microaxial Left Ventricular Assist Device vs Intra-aortic Balloon Pump in Patients Presenting With Acute Myocardial Infarction Complicated by Cardiogenic Shock.

Importance Affectance Intravascular microaxial left ventricular assist device compared to intra-aortic balloon pump has been shown to an elevated risk of mortality and bleeding among patients with acute myocardial infarction and cardiogenic shock undergoing percutaneous coronary intervention. AMI patients with AMI complicated by CS's research will determine the relationship between intravascular LVAD or IABP use and clinical outcomes and cost in patients with AMI complicated by CS. AMI complicating by CS was 65. 2 years old, and 986 had cardiac arrest, with 3077 patients experiencing PCI for AMI complicated by CS. Conclusions and use in this propensity-matched review of patients under AMI complicated by CS, intravascular LVAD use was associated with increased risk of death, bleeding, KRT, and cost in comparison to IABP. Patients with AMI complicated by CS are in dire need of more information regarding the optimal care of patients with AMI complicated by CS.

Source link: https://europepmc.org/article/MED/35849410


Transradial versus transfemoral approach for percutaneous coronary intervention in patients with ST-elevation myocardial infarction complicated by cardiogenic shock: a systematic review and meta-analysis.

Background In ST-elevation myocardial infarction, transradial access for coronary intervention is correlated with less bleeding and mortality than transfemoral access. However, patients in cardiogenic shock are more likely to be treated by TFA. In CS, the aim of this meta-analysis is to compare the safety and effectiveness of TRA vs. TFA. Conclusions In PCI for STEMI with CS, TRA is associated with significantly less mortality and bleeding problems than TFA, despite similar TIMI3 flow and procedural success rates.

Source link: https://europepmc.org/article/MED/35460230


SARS-CoV-2-related Multisystem Inflammatory Syndrome in Adult complicated by myocarditis and cardiogenic shock.

Adult Multisystem Inflammatory Syndrome is a rare COVID-19 complication, presenting as fever with laboratory evidence of inflammation, acute illness necrequiring hospitalization, and multisystem organ involvement. Following a previous symptomatic COVID-19 infection, we focus on a 25-year-old man who was exhibiting fever, rash, abdominal pain, diarrhoea, and vomiting. Heart failure therapy was introduced.

Source link: https://europepmc.org/article/MED/36043434


Early hyperoxia and 28-day mortality in patients on venoarterial ECMO support for refractory cardiogenic shock: a bicenter retrospective propensity score-weighted analysis.

Background The mortality risk among a patient with a refractory cardiogenic shock on venoarterial extracorporeal membrane oxygenation remains high, and hyperoxia may exacerbate this prognosis. In this setting, the aim of the present study was to investigate the relationship between hyperoxia and 28-day mortality. Adult patients who were symptomatic cardiogenic shock were included in the study. Following admission, the absolute peak PaO 2, the mean daily peak PaO 2, the overall mean PaO 2, and the severity of hyperoxia were recorded for 48 hours, with the following arterial partial pressure of oxygen variables. The mean daily peak PaO 2, absolute peak PaO 2, and overall mean PaO 2 were all independent predictors of 28-day mortality in a multivariate logistic regression study. Conclusions High oxygen levels were associated with 28-day mortality in patients on VA-ECMO therapy for refractory cardiogenic shock.

Source link: https://europepmc.org/article/MED/36028883


Hospital characteristics are associated with clinical outcomes in patients with cardiogenic shock.

The impact of receiving hospital information in emergency medical services treated cardiogenic shock is unclear. Methods This population-based cohort study in Victoria, Australia, contained consecutive adult patients with cardiogenic shock who were admitted to hospital by emergency medical services between 1 January 2015 and 30 June 2019. Compared to non-cardiac centers, EMS transport to a cardiac center was associated with significantly reduced 30-day mortality rates. Hospitals in the highest volume quartile had reduced risk of 30-day mortality relative to the lowest annual cardiogenic shock volume quartile. All p 0. 05 were shown in patients transferred by ambulance to trauma level 1 centers, a step forward in the adjusted likelihood of 30-day mortality in patients transferred by EMS to trauma level 1 centers, compared to cardiothoracic surgical centers, non-cardiac surgical metropolitan, and rural cardiac centers. Conclusions In patients with cardiogenic shock, receiving hospital information is associated with improved survival rates.

Source link: https://europepmc.org/article/MED/36018300

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions