Management and predictors of outcome in unselected patients with cardiogenic shock complicating acute ST-segment elevation myocardial infarction: results from the Bremen STEMI Registry

Introduction Patients with ST-segment elevation myocardial infarction (STEMI) and consecutive cardiogenic shock (CS) represent a challenge in clinical practice. Only few ‘real-world’ data on therapeutic management and outcome exist. Methods The present analysis focuses on changes of clinical managem...

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Veröffentlicht in:	Clinical research in cardiology 2018-05, Vol.107 (5), p.371-379
Hauptverfasser:	Backhaus, Tina, Fach, Andreas, Schmucker, Johannes, Fiehn, Eduard, Garstka, Daniela, Stehmeier, Janina, Hambrecht, Rainer, Wienbergen, Harm
Format:	Artikel
Sprache:	eng
Schlagworte:	Adenosine - administration & dosage Adenosine - analogs & derivatives Aged Anemia Balloon treatment Cardiology Chi-Square Distribution Comorbidity Disease management Drug delivery Drug-Eluting Stents - trends Electrocardiography Female Fibrillation Germany Heart attacks Heart-Assist Devices - trends Hospital Mortality Humans Implants Intra-Aortic Balloon Pumping - adverse effects Intra-Aortic Balloon Pumping - instrumentation Intra-Aortic Balloon Pumping - mortality Intra-Aortic Balloon Pumping - trends Kidneys Logistic Models Male Management Medicine Medicine & Public Health Middle Aged Mortality Multivariate analysis Myocardial infarction Odds Ratio Original Paper Patients Percutaneous Coronary Intervention - adverse effects Percutaneous Coronary Intervention - instrumentation Percutaneous Coronary Intervention - mortality Percutaneous Coronary Intervention - trends Platelet Aggregation Inhibitors - administration & dosage Practice Patterns, Physicians' - trends Prasugrel Hydrochloride - administration & dosage Registries Renal failure Risk Factors Shock, Cardiogenic - diagnosis Shock, Cardiogenic - mortality Shock, Cardiogenic - physiopathology Shock, Cardiogenic - therapy ST Elevation Myocardial Infarction - diagnosis ST Elevation Myocardial Infarction - mortality ST Elevation Myocardial Infarction - physiopathology ST Elevation Myocardial Infarction - therapy Stents Surgical implants Time Factors Treatment Outcome
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Zusammenfassung:	Introduction Patients with ST-segment elevation myocardial infarction (STEMI) and consecutive cardiogenic shock (CS) represent a challenge in clinical practice. Only few ‘real-world’ data on therapeutic management and outcome exist. Methods The present analysis focuses on changes of clinical management of STEMI-patients with CS and analyzes predictors of outcome using the Bremen-STEMI registry. Results Out of 7865 patients with STEMI, 981 patients (13%) presented with CS. Most CS patients (88%) underwent an early percutaneous intervention (PCI). Intraaortic balloon pumps (IABP) were less implanted since 2013 ( p
ISSN:	1861-0684 1861-0692
DOI:	10.1007/s00392-017-1192-0