Epidemiology of Shock in Contemporary Cardiac Intensive Care Units
| Autor: | Robert O. Roswell, Michael C. Kontos, Christopher Barnett, Carlos L. Alviar, Norma Keller, Lori B. Daniels, Fnu Vikram, Affan Haleem Md, Gregory W. Barsness, Steven P. Schulman, Jeong Gun Park, Jason Ng, Steven M. Hollenberg, David A. Morrow, R. Jeffrey Snell, Patrick R. Lawler, Nicholas Phreaner, Paul Cremer, Jennifer Cruz, Erin A. Bohula, Venu Menon, James A. Burke, Ryan Orgel, Christopher B. Overgaard, Jason N. Katz, David D. Berg, Vivian M Baird-Zars, Wayne Tymchak, James M. Horowitz, Andrew P. DeFilippis, Michael A. Solomon, Sean van Diepen, Thomas S. Metkus, Bradley Ternus |
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| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | Circulation: Cardiovascular Quality and Outcomes. 12 |
| ISSN: | 1941-7705 1941-7713 |
| DOI: | 10.1161/circoutcomes.119.005618 |
| Popis: | Background Clinical investigations of shock in cardiac intensive care units (CICUs) have primarily focused on acute myocardial infarction (AMI) complicated by cardiogenic shock (AMICS). Few studies have evaluated the full spectrum of shock in contemporary CICUs. Methods and Results The Critical Care Cardiology Trials Network is a multicenter network of advanced CICUs in North America. Anytime between September 2017 and September 2018, each center (n=16) contributed a 2-month snap-shot of all consecutive medical admissions to the CICU. Data were submitted to the central coordinating center (TIMI Study Group, Boston, MA). Shock was defined as sustained systolic blood pressure P P Conclusions The epidemiology of shock in contemporary advanced CICUs is varied, and AMICS now represents less than one-third of all CS. Despite advanced therapies, mortality in CS and mixed shock remains high. Investigation of management strategies and new therapies to treat shock in the CICU should take this epidemiology into account. |
| Databáze: | OpenAIRE |
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