학술논문
Differences between cardiogenic shock related to acute decompensated heart failure and acute myocardial infarction
Document Type
article
Author
Maurizio Bertaina; Nuccia Morici; Simone Frea; Laura Garatti; Martina Briani; Carlotta Sorini; Luca Villanova; Elena Corrada; Alice Sacco; Marco Moltrasio; Amelia Ravera; Michele Tedeschi; Letizia Bertoldi; Maddalena Lettino; Francesco Saia; Anna Corsini; Rita Camporotondo; Costanza Natalia Julia Colombo; Stephanie Bertolin; Matteo Rota; Fabrizio Oliva; Mario Iannaccone; Serafina Valente; Matteo Pagnesi; Marco Metra; Alessandro Sionis; Marco Marini; Gaetano Maria De Ferrari; Navin K. Kapur; Federico Pappalardo; Guido Tavazzi
Source
ESC Heart Failure, Vol 10, Iss 6, Pp 3472-3482 (2023)
Subject
Language
English
ISSN
2055-5822
Abstract
Abstract Aims The present analysis from the multicentre prospective Altshock‐2 registry aims to better define clinical features, in‐hospital course, and management of cardiogenic shock complicating acutely decompensated heart failure (ADHF‐CS) as compared with that complicating acute myocardial infarction (AMI‐CS). Methods and results All patients with AMI‐CS or ADHF‐CS enrolled in the Altshock‐2 registry between March 2020 and February 2022 were selected. The primary objective was the characterization of ADHF‐CS patients as compared with AMI‐CS. In‐hospital length of stay and mortality were secondary endpoints. One‐hundred‐ninety of the 238 CS patients enrolled in the aforementioned period were considered for the present analysis: 101 AMI‐CS (80% ST‐elevated myocardial infarction and 20% non‐ST‐elevated myocardial infarction) and 89 ADHF‐CS. As compared with AMI‐CS, ADHF‐CS patients were younger [63 (IQR 59–76) vs. 67 (IQR 54–73) years, P = 0.01], but presented with higher creatinine [1.6 (IQR 1.0–2.6) vs. 1.2 (IQR 1.0–1.4) mg/dL, P