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Canadian Journal of Cardiology

Leveraging Existing STEMI Networks to Regionalize Cardiogenic Shock Systems of Care: Efforts to Expand the Scope Could Improve Shock Outcomes

Published:November 15, 2022DOI:https://doi.org/10.1016/j.cjca.2022.11.005
      Brief Summary
      Cardiogenic shock (CS) is a high-acuity and time-sensitive condition associated with significant morbidity and mortality that may be best served with centralized care by an experienced multi-disciplinary team. We propose that existing Canadian “hub-and-spoke” systems for timely revascularization in ST-elevation myocardial infarction can be leveraged to expand, and ultimately improve timely referral, transfer, and survival of CS patients.

      Abbreviations:

      CICU (cardiac intensive care unit), ICU (intensive care unit), MD (medical doctor), SCAI (society of coronary angiography and interventions), STEMI (ST-elevation myocardial infarction)
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      References:

        • van Diepen S.
        • Katz J.N.
        • Albert N.M.
        • et al.
        Contemporary Management of Cardiogenic Shock: A Scientific Statement From the American Heart Association.
        Circulation. 2017; 136: e232-e268
        • Kapral M.K.
        • Fang J.
        • Silver F.L.
        • et al.
        Effect of a provincial system of stroke care delivery on stroke care and outcomes.
        CMAJ. 2013; 185: E483-491
        • Spaite D.W.
        • Bobrow B.J.
        • Stolz U.
        • et al.
        Statewide regionalization of postarrest care for out-of-hospital cardiac arrest: Association with survival and neurologic outcome.
        Ann Emerg Med. 2014; 64: 496-506.e491
        • Le May M.R.
        • So D.Y.
        • Dionne R.
        • et al.
        A Citywide Protocol for Primary PCI in ST-Segment Elevation Myocardial Infarction.
        N Engl J Med. 2008; 358: 231-240
        • Bainey K.R.
        • Armstrong P.W.
        • Zheng Y.
        • et al.
        Pharmacoinvasive Strategy Versus Primary Percutaneous Coronary Intervention in ST-Elevation Myocardial Infarction in Clinical Practice.
        Circ Cardiovasc Interven. 2019; 12e008059