Author + information
- Received May 18, 2018
- Revision received July 19, 2018
- Accepted July 23, 2018
- Published online October 8, 2018.
- Tanveer Rab, MDa,∗ (, )@TanveerRab,
- Supawat Ratanapo, MDa,
- Karl B. Kern, MDb,
- Mir Babar Basir, DOc,
- Michael McDaniel, MDa,
- Perwaiz Meraj, MDd,
- Spencer B. King III, MDa and
- William O’Neill, MDc
- aDivision of Cardiology, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia
- bDivision of Cardiology, University of Arizona, Tucson, Arizona
- cHenry Ford Health Care System, Detroit, Michigan
- dDivision of Cardiology, Northwell Health, New York, New York
- ↵∗Address for correspondence:
Dr. Tanveer Rab, Emory University Hospital, 1364 Clifton Road Northeast, F-606, Atlanta, Georgia 30322.
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.
Dr. Meraj receives research, grants, education, and consulting fees from Abiomed. Dr. Basir is the co-principal investigator for the National CSI trial, for which Henry Ford Hospital receives grant funding from Abiomed and Cheisi. Dr. O'Neill has served as a consultant to Medtronic, Boston Scientific, and Abiomed; and is the principal investigator for the National CSI trial, for which Henry Ford Hospital receives grant funding from Abiomed and Cheisi. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.
- Received May 18, 2018.
- Revision received July 19, 2018.
- Accepted July 23, 2018.
- 2018 American College of Cardiology Foundation
This article requires a subscription or purchase to view the full text. If you are a subscriber or member, click Login or the Subscribe link (top menu above) to access this article.