The Prognosis of Cardiogenic Shock Following Acute Myocardial Infarction—an Analysis of 2693 Cases From a Prospective Multicenter Registry
Abstrakt
Cardiogenic shock (CS) is the most common cause of death in patients with acute myocardial infarction (AMI) and complicates 5-12% of cases. In-hospital mortality from AMI complicated with CS (CS-AMI) remains consistently high at about 50%[Our analysis aims to examine the incidence, outcomes, and predictive factors in a large cohort of patients with CS-AMI.
Our data are valuable because they include a large group of consecutive patients with CS-AMI. Analysis showed a 30-day mortality rate of 50.4%, similar to previous findings.
These high numbers show that CS is an important target for further improvements in the management of patients with AMI. The key finding of our study is that the outcome of patients with CS-AMI is highly affected by the patient's degree of instability, as documented by mechanical ventilation and resuscitation, and the timing of successful revascularization.
The independent impact of comorbidity and nontraditional factors on the prognosis of these patients has not been confirmed. The analysis of predictors of 30-day mortality may be helpful in creating profiles of CS-AMI patients and in triage, which is important in the decision of management strategies.