Long-Term Outcomes of Cardiogenic Shock Complicating Myocardial Infarction

• DOI: 10.1016/j.jacc.2023.06.026
• Publication Date: 2023-08-28T18:01:44Z
• Authors: Lee H. Sterling; Shannon M. Fernando; Robert Talarico; Danial Qureshi; Sean van Diepen; Margaret S. Herridge; Susanna Price; Daniel Brodie; Eddy Fan; Pietro Di Santo; Richard G. Jung; Simon Parlow; Mir B. Basir; Damon C. Scales; Alain Combes; Rebecca Mathew; Holger Thiele; Peter Tanuseputro; Benjamin Hibbert
• Keywords: Adult; Male; Aged, 80 and over; Ontario; Shock, Cardiogenic; Myocardial Infarction; Aftercare; Middle Aged; Patient Discharge; 3. Good health; Humans; Female; Aged; Retrospective Studies

Cardiogenic shock secondary to acute myocardial infarction (AMI-CS) is associated with substantial short-term mortality; however, there are limited data on long-term outcomes and trends.This study sought examine of AMI-CS patients.This was a population-based, retrospective cohort in Ontario, Canada critically ill adult patients who were admitted hospitals between April 1, 2009 March 31, 2019. Outcome captured using linked health administrative databases.A total 9,789 consecutive from 135 centers included. The mean age 70.5 ± 12.3 years, 67.7% male. incidence 8.2 per 100,000 person-years, it increased over the period. Critical care interventions common, 5,422 (55.4%) undergoing invasive mechanical ventilation, 1,425 (14.6%) renal replacement therapy, 1,484 (15.2%) receiving circulatory support. A 2,961 (30.2%) died hospital, 4,004 (40.9%) by 1 year. Mortality at 5 years 58.9%. Small improvements short- mortality seen Among survivors discharge, 2,870 (42.0%) required support their preadmission baseline, 3,244 (47.5%) readmitted hospital within year, 1,047 (15.3%) number days home year following discharge 307.9 109.6.Short- among high, minimal improvement time. experience significant morbidity, high risks readmission death. Future studies should evaluate minimize postdischarge morbidity survivors.