Etiology and Prognosis of Cardiogenic Shock ...
Type de document :
Compte-rendu et recension critique d'ouvrage
DOI :
PMID :
Titre :
Etiology and Prognosis of Cardiogenic Shock in a Secondary Center without Surgical Back-Up
Auteur(s) :
Bonello, Laurent [Auteur]
Vascular research center of Marseille [VRCM]
Centre recherche en CardioVasculaire et Nutrition = Center for CardioVascular and Nutrition research [C2VN]
Mediterranean Association for Research and Studies in Cardiology [MARS cardio]
Laine, Marc [Auteur]
Vascular research center of Marseille [VRCM]
Centre recherche en CardioVasculaire et Nutrition = Center for CardioVascular and Nutrition research [C2VN]
Mediterranean Association for Research and Studies in Cardiology [MARS cardio]
Puymirat, Etienne [Auteur]
Ceccaldi, Victoria [Auteur]
Vascular research center of Marseille [VRCM]
Centre recherche en CardioVasculaire et Nutrition = Center for CardioVascular and Nutrition research [C2VN]
Mediterranean Association for Research and Studies in Cardiology [MARS cardio]
Gaubert, Mélanie [Auteur]
Vascular research center of Marseille [VRCM]
Centre recherche en CardioVasculaire et Nutrition = Center for CardioVascular and Nutrition research [C2VN]
Mediterranean Association for Research and Studies in Cardiology [MARS cardio]
Paganelli, Franck [Auteur]
Vascular research center of Marseille [VRCM]
Centre recherche en CardioVasculaire et Nutrition = Center for CardioVascular and Nutrition research [C2VN]
Mediterranean Association for Research and Studies in Cardiology [MARS cardio]
Thuny, Franck [Auteur]
Vascular research center of Marseille [VRCM]
Centre recherche en CardioVasculaire et Nutrition = Center for CardioVascular and Nutrition research [C2VN]
Mediterranean Association for Research and Studies in Cardiology [MARS cardio]
Dabry, Thibaut [Auteur]
Vascular research center of Marseille [VRCM]
Centre recherche en CardioVasculaire et Nutrition = Center for CardioVascular and Nutrition research [C2VN]
Mediterranean Association for Research and Studies in Cardiology [MARS cardio]
Schurtz, Guillaume [Auteur]
Récepteurs nucléaires, maladies cardiovasculaires et diabète - U 1011 [RNMCD]
Delmas, Clement [Auteur]
Institut des Maladies Métaboliques et Cardiovasculaires [I2MC]
Centre Hospitalier Universitaire de Toulouse [CHU Toulouse]
Mancini, Julien [Auteur]
Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale [SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD]
Biostatistique et technologies de l'information et de la communication (BioSTIC) - [Hôpital de la Timone - APHM] [BiosTIC ]
Lemesle, Gilles [Auteur]
Récepteurs nucléaires, maladies cardiovasculaires et diabète - U 1011 [RNMCD]
Vascular research center of Marseille [VRCM]
Centre recherche en CardioVasculaire et Nutrition = Center for CardioVascular and Nutrition research [C2VN]
Mediterranean Association for Research and Studies in Cardiology [MARS cardio]
Laine, Marc [Auteur]
Vascular research center of Marseille [VRCM]
Centre recherche en CardioVasculaire et Nutrition = Center for CardioVascular and Nutrition research [C2VN]
Mediterranean Association for Research and Studies in Cardiology [MARS cardio]
Puymirat, Etienne [Auteur]
Ceccaldi, Victoria [Auteur]
Vascular research center of Marseille [VRCM]
Centre recherche en CardioVasculaire et Nutrition = Center for CardioVascular and Nutrition research [C2VN]
Mediterranean Association for Research and Studies in Cardiology [MARS cardio]
Gaubert, Mélanie [Auteur]
Vascular research center of Marseille [VRCM]
Centre recherche en CardioVasculaire et Nutrition = Center for CardioVascular and Nutrition research [C2VN]
Mediterranean Association for Research and Studies in Cardiology [MARS cardio]
Paganelli, Franck [Auteur]
Vascular research center of Marseille [VRCM]
Centre recherche en CardioVasculaire et Nutrition = Center for CardioVascular and Nutrition research [C2VN]
Mediterranean Association for Research and Studies in Cardiology [MARS cardio]
Thuny, Franck [Auteur]
Vascular research center of Marseille [VRCM]
Centre recherche en CardioVasculaire et Nutrition = Center for CardioVascular and Nutrition research [C2VN]
Mediterranean Association for Research and Studies in Cardiology [MARS cardio]
Dabry, Thibaut [Auteur]
Vascular research center of Marseille [VRCM]
Centre recherche en CardioVasculaire et Nutrition = Center for CardioVascular and Nutrition research [C2VN]
Mediterranean Association for Research and Studies in Cardiology [MARS cardio]
Schurtz, Guillaume [Auteur]
Récepteurs nucléaires, maladies cardiovasculaires et diabète - U 1011 [RNMCD]
Delmas, Clement [Auteur]
Institut des Maladies Métaboliques et Cardiovasculaires [I2MC]
Centre Hospitalier Universitaire de Toulouse [CHU Toulouse]
Mancini, Julien [Auteur]
Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale [SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD]
Biostatistique et technologies de l'information et de la communication (BioSTIC) - [Hôpital de la Timone - APHM] [BiosTIC ]
Lemesle, Gilles [Auteur]
Récepteurs nucléaires, maladies cardiovasculaires et diabète - U 1011 [RNMCD]
Titre de la revue :
Cardiology Research and Practice
Pagination :
1-7
Éditeur :
Hindawi
Date de publication :
2019-12-09
ISSN :
2090-8016
Discipline(s) HAL :
Sciences du Vivant [q-bio]/Santé publique et épidémiologie
Résumé en anglais : [en]
Background. Cardiogenic shock (CS) remains a major challenge in contemporary cardiology. Data regarding CS etiologies and their prognosis are limited and mainly derived from tertiary referral centers. Aims. To investigate ...
Lire la suite >Background. Cardiogenic shock (CS) remains a major challenge in contemporary cardiology. Data regarding CS etiologies and their prognosis are limited and mainly derived from tertiary referral centers. Aims. To investigate the current etiologies of cardiogenic shock and their associated short- and long-term outcomes in a secondary center without surgical back-up. Methods. We performed an observational prospective monocenter study. All patients admitted for a first episode of CS related to left ventricular dysfunction were enrolled. The definition of CS was consistent with the European Society of Cardiology guidelines. Patients were followed for 6 months. Etiologies were analyzed, and survival rates derived from Kaplan-Meier estimates were compared with the log-rank test. Results. Between January 2015 and January 2016, 152 patients were included. The first most common cause of CS was acute decompensation of chronic heart failure (CHF). Acute coronary syndromes (ACS) were the second most common cause of CS (35.4%). At one month, the all-cause mortality rate was 39.5% and was similar between ACS and CHF (43% vs 35%, respectively; ). In a landmark analysis between 1 and 6 months, we observed a significantly higher mortality in patients with CHF than in patients with ACS (18% vs. 0%; ). Conclusions. In the present registry, acute decompensation of chronic heart failure was the most common cause of CS, while ACS complicated by CS was the second most common cause. Of importance, acute decompensation of CHF was associated with a significantly worse outcome than ACS in the long term.Lire moins >
Lire la suite >Background. Cardiogenic shock (CS) remains a major challenge in contemporary cardiology. Data regarding CS etiologies and their prognosis are limited and mainly derived from tertiary referral centers. Aims. To investigate the current etiologies of cardiogenic shock and their associated short- and long-term outcomes in a secondary center without surgical back-up. Methods. We performed an observational prospective monocenter study. All patients admitted for a first episode of CS related to left ventricular dysfunction were enrolled. The definition of CS was consistent with the European Society of Cardiology guidelines. Patients were followed for 6 months. Etiologies were analyzed, and survival rates derived from Kaplan-Meier estimates were compared with the log-rank test. Results. Between January 2015 and January 2016, 152 patients were included. The first most common cause of CS was acute decompensation of chronic heart failure (CHF). Acute coronary syndromes (ACS) were the second most common cause of CS (35.4%). At one month, the all-cause mortality rate was 39.5% and was similar between ACS and CHF (43% vs 35%, respectively; ). In a landmark analysis between 1 and 6 months, we observed a significantly higher mortality in patients with CHF than in patients with ACS (18% vs. 0%; ). Conclusions. In the present registry, acute decompensation of chronic heart failure was the most common cause of CS, while ACS complicated by CS was the second most common cause. Of importance, acute decompensation of CHF was associated with a significantly worse outcome than ACS in the long term.Lire moins >
Langue :
Anglais
Vulgarisation :
Non
Source :
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