Cardiogenic Shock Clinical Presentation, Management, and In-Hospital Outcomes in Patients Admitted to the Acute Cardiac Care Unit of a Tertiary Hospital: Does Gender Play a Role?
Adrian JerónimoMarcos Ferrández-EscarabajalCarlos FerreraFrancisco J NoriegaJesús Diz-DíazRodrigo Fernández-JiménezAngela McInerneyAntonio Fernández-OrtizAna Viana-TejedorPublished in: Journal of clinical medicine (2020)
Cardiogenic shock (CS), as the most severe form of heart failure, is associated with very high mortality rates despite therapeutic advances in the last decades. Gender differences in outcomes have been widely reported regarding several cardiovascular diseases. The aim of our study was to evaluate potential gender disparities in clinical presentation, management, and in-hospital outcomes of all (n = 138) patients admitted to the Acute Cardiac Care Unit of a tertiary hospital from 2013 to 2019. Information on demographic characteristics, past medical history, haemodynamic and clinical status at admission, therapeutic management, and in-hospital outcomes was retrospectively collected. Women represented 31.88% of the cohort, were significantly older than the men and had a lower proportion of smokers, chronic obstructive pulmonary disease, and previous acute myocardial infarction (AMI). Most CSs in both groups were AMI-related. Left ventricular ejection fraction at admission was higher in women, who were less likely to receive vasopressors. No differences were observed regarding mechanical circulatory support use and in-patient outcomes, with age being the only factor associated with in-hospital mortality on multivariate analysis.
Keyphrases
- acute myocardial infarction
- left ventricular
- healthcare
- heart failure
- ejection fraction
- chronic obstructive pulmonary disease
- aortic stenosis
- emergency department
- liver failure
- cardiovascular disease
- mental health
- drug induced
- hypertrophic cardiomyopathy
- acute care
- cardiovascular events
- cardiovascular risk factors
- type diabetes
- early onset
- middle aged
- pregnant women
- intensive care unit
- adipose tissue
- physical activity
- adverse drug
- atrial fibrillation
- extracorporeal membrane oxygenation
- pain management
- climate change
- health information