New Cardiogenic Shock Staging System IDs Mortality Risk

MONDAY, Dec. 9, 2019 -- The new Society for Cardiovascular Angiography and Intervention (SCAI) cardiogenic shock (CS) classification scheme provides risk stratification for hospital mortality, according to a study recently published in the Journal...
Source: Drugs.com - Pharma News - Category: Pharmaceuticals Source Type: news

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CONCLUSION: Wide variation exists in the care delivered and/or resources available for patients with CS. Our survey suggests opportunities for standardization of care. PMID: 32999090 [PubMed - in process]
Source: The Journal of Invasive Cardiology - Category: Cardiology Tags: J Invasive Cardiol Source Type: research
Coronary angiography, PCI, mechanical circulatory support used less often; mortality higher
Source: Pulmonary Medicine News - Doctors Lounge - Category: Respiratory Medicine Tags: Cardiology, Family Medicine, Gynecology, Internal Medicine, Critical Care, Emergency Medicine, Pulmonology, Journal, Source Type: news
Takotsubo syndrome (TS) is a neurologically mediated acute heart failure syndrome characterized by transient reversible left ventricular dysfunction affecting more than one coronary artery territory in a circumferential distribution.1,2 The syndrome is classically associated with a lack of culprit lesion on coronary angiography and is often triggered by physical or emotional stress.2 TS is variably referred to as stress cardiomyopathy, apical ballooning syndrome or broken heart syndrome and is increasingly recognized in approximately 2% of patients initially presenting with acute coronary syndromes.
Source: The American Journal of Cardiology - Category: Cardiology Authors: Source Type: research
AbstractAimsAge is an important risk factor for mortality among patients with cardiogenic shock and heart failure (HF). We sought to assess the extent to which age modified the performance of the Society for Cardiovascular Angiography and Interventions (SCAI) shock stage for in ‐hospital and 1 year mortality in cardiac intensive care unit (CICU) patients with and without HF.Methods and resultsWe retrospectively reviewed unique admissions to the Mayo Clinic CICU during 2007 –2015 and stratified patients by age and SCAI shock stage. The association between age and in‐hospital mortality was analysed using multi...
Source: ESC Heart Failure - Category: Cardiology Authors: Tags: Original Research Article Source Type: research
CONCLUSIONS: CCLL is frequent in CS and independently associated with worse clinical outcome irrespective of the revascularization strategy. PMID: 32894227 [PubMed - as supplied by publisher]
Source: EuroIntervention - Category: Cardiovascular & Thoracic Surgery Tags: EuroIntervention Source Type: research
A 50-year-old woman underwent coronary artery bypass graft (CABG) for multivessel coronary artery disease. Due to hemodynamic instability, the patient could not be weaned from cardiopulmonary bypass without mechanical support, even after multiple attempts. Subsequently, a right ventricular intramyocardial hematoma (IH) was found during postoperative coronary angiography. The IH was felt to be the main contributing factor leading to right ventricular failure and cardiogenic shock, which, to the authors ’ knowledge, has not been previously reported after CABG.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Case Report Source Type: research
I was texted these ECGs." Bad chest pressure with severe left shoulder pain 3 nights ago.  Then SOB and nausea the next day.  Now appears to be in cardiogenic shock. "(Later review showed systolic BPs in the range of 55 to 83.  So she was quite hypotensive.)First recorded at time zero:There is sinus rhythm. Rate of only 70 suggests some beta blockade.The QT is very long.There is T-wave inversion in inferior leads, suggestive of reperfused or subacute MI.There is a Q-wave in III, so this may be subacuteThere is ST depression in V2-V4.20 minutes:Again, very long QT.Now, T-waves are upright in inferio...
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs
We report a case of a young male patient presenting with anterolateral STEMI in relation with SCAD of Left main and left anterior descending artery (LAD). He was initially managed by fibrinolysis, which is then complicated by cardiogenic choc. Coronary angiogram covered by intra-aortic balloon pump (IABP) showed an acute double occlusion of proximal LAD and the ostium of the left circumflex artery (LCX). After thrombus aspirations, the angiographic pattern recalled a SCAD, which is confirmed by OCT (Optical Coherence Tomography). The latter highlighted the intimal flap with true and false lumen involving both Left main and...
Source: Annales de Cardiologie et d'Angeiologie - Category: Cardiology Authors: Tags: Ann Cardiol Angeiol (Paris) Source Type: research
CONCLUSION: Nonagenarian patients are subject to more complications when undergoing coronary invasive procedures compared to patients under 75. PMID: 32800321 [PubMed - as supplied by publisher]
Source: Annales de Cardiologie et d'Angeiologie - Category: Cardiology Authors: Tags: Ann Cardiol Angeiol (Paris) Source Type: research
Abstract After a brief history of the emergence of modern therapy for acute ST-elevation myocardial infarction, we discuss the issues that dominate ongoing studies and are the focus of intense debates. The role of angiography, pharmacotherapy, thrombus aspiration, management of multi-vessel disease, mechanical complications and cardiogenic shock and the quest for myocardial salvage are discussed. PMID: 32780338 [PubMed]
Source: Netherlands Heart Journal - Category: Cardiology Authors: Tags: Neth Heart J Source Type: research
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