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Cardiogenic shock (CS) caused by acute myocardial infarction (AMI) is one of the main death factors in patients with myocardial infarction.
Insufficient blood supply, triggering an inflammatory response, and ultimately multiple organ failure
.
In clinical treatment, early stable hemodynamics and revascularization are the main treatment methods for cardiogenic shock
.
Cardiogenic shock (CS) caused by acute myocardial infarction (AMI) is one of the main death factors in patients with myocardial infarction Cardiogenic shock (CS) caused by acute myocardial infarction (AMI) is one of the main death factors in patients with myocardial infarction myocardial infarction heart failure
Despite advances in revascularization strategies and mechanical circulatory support (MCS) devices, mortality in patients with acute myocardial infarction and cardiogenic shock remains high
.
To elucidate the relationship between combined peripheral vascular disease (PAD) of the lower extremity and outcomes of CS and AMI, experts from the Division of Cardiology at Columbia University Irving Medical Center/New York-Presbyterian Hospital conducted a study published in the journal JACC
.
PAD status was defined among Medicare beneficiaries of CS and AMI hospitalized between October 1, 2015, and June 30, 2018
.
The primary outcome determined through December 31, 2018, included in-hospital and out-of-hospital mortality
.
Of the 71,690 patients, 5.
9% (N = 4259) had PAD
.
The mean age was 77.
8±7.
Overall, patients with PAD had a 50% greater risk of death (56.
In-hospital amputation (1.
Graphical Summary Summary
Graphical Summary SummaryTaken together, PAD is associated with poorer limb outcomes and survival in patients presenting with AMI and CS
.
Taken together, PAD is associated with poorer limb outcomes and survival in patients presenting with AMI and CS
references:
Outcomes Associated With Peripheral Artery Disease in Myocardial Infarction With Cardiogenic Shock.
J Am Coll Cardiol.
Outcomes Associated With Peripheral Artery Disease in Myocardial Infarction With Cardiogenic Shock.
J Am Coll Cardiol.
2022 Apr, 79 (13) 1223–1235 Outcomes Associated With Peripheral Artery Disease in Myocardial Infarction With Cardiogenic Shock.
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