Early Utilization of Mechanical Circulatory Support in Acute Myocardial Infarction Complicated by Cardiogenic Shock: The National Cardiogenic Shock Initiative.
Mir Babar BasirAlejandro LemorSarah GorgisKirit C PatelBrian C KolskiAditya S BharadwajJoshua W ToddBehnam N TehraniAlexander G TruesdellDavid M LasordaThomas A LalondeAmir KakiTheodore L SchrieberNainesh C PatelShaun R SenterJoseph L GelorminiSteven P MarsoAyaz M RahmanRobert E FedericiCharles E WilkinsA Thomas McRaeAli NsairChristopher P CaputoMatheen A KhuddusJuan J ChahinAllison G DupontAndrew M GoldsweigMichael J LimNavin K KapurDavid H W WohnsYueren ZhouMichael J HacalaWilliam W O'NeillPublished in: Journal of the American Heart Association (2023)
Early use of MCS in AMI-CS is feasible across varying health care settings and resulted in improvements to early hemodynamics and perfusion. Survival rates to hospital discharge were high. Given the encouraging results from our analysis, randomized clinical trials are warranted to assess the role of utilizing early MCS, using a standardized, multidisciplinary approach.