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J Am Coll Cardiol. 2018 Oct 16;72(16):1972-1980. doi: 10.1016/j.jacc.2018.07.074.

Cardiac Shock Care Centers: JACC Review Topic of the Week.

Author information

1
Division of Cardiology, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia. Electronic address: srab@emory.edu.
2
Division of Cardiology, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
3
Division of Cardiology, University of Arizona, Tucson, Arizona.
4
Henry Ford Health Care System, Detroit, Michigan.
5
Division of Cardiology, Northwell Health, New York, New York.

Erratum in

Abstract

Despite advances over the past decade, the incidence of cardiogenic shock secondary to acute myocardial infarction has increased, with an unchanged mortality near 50%. Recent trials have not clarified the best strategies in treatment. While dedicated cardiac shock centers are being established, there are no standardized agreements on the utilization of mechanical circulatory support and the timeliness of percutaneous coronary intervention strategies. In some centers and prospective registries, outcomes after placement of advanced mechanical circulatory support prior to reperfusion therapy with percutaneous coronary intervention have been encouraging with improved survival. Here, we suggest systems of care with a treatment pathway for patients with acute myocardial infarction complicated by cardiogenic shock.

KEYWORDS:

cardiogenic shock; care pathway; shock center

PMID:
30309475
DOI:
10.1016/j.jacc.2018.07.074

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