Cardiogenic shock during heart failure hospitalizations: Age-, sex-, and race-stratified trends in incidence and outcomes

The objectives were to study the overall and age-, sex-, and race-stratified incidence of cardiogenic shock (CS) during heart failure hospitalizations (HFHs) not complicated by acute coronary syndromes (ACS), utilization of short-term mechanical circulatory support (MCS) and in-hospital mortality wi...

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Veröffentlicht in:The American heart journal 2019-07, Vol.213, p.18-29
Hauptverfasser: Yandrapalli, Srikanth, Sanaani, Abdallah, Harikrishnan, Prakash, Aronow, Wilbert S., Frishman, William H., Lanier, Gregg M., Ahmed, Ali, Fonarow, Gregg C.
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Sprache:eng
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Zusammenfassung:The objectives were to study the overall and age-, sex-, and race-stratified incidence of cardiogenic shock (CS) during heart failure hospitalizations (HFHs) not complicated by acute coronary syndromes (ACS), utilization of short-term mechanical circulatory support (MCS) and in-hospital mortality with non–ACS-related CS, and respective temporal trends. Data are lacking regarding the epidemiology of non–ACS-related CS during HFHs. Retrospective observational analysis of the National Inpatient Sample 2005-2014 to identify all HFHs in adult patients without concomitant ACS. Of 8,333,752 HFHs, incidence rate of non–ACS-related CS was 8.7 per thousand HFHs (N = 72,668), a 4-fold increase from 4.1 to 15.6 per thousand HFHs between 2005 and 2014 (Ptrend
ISSN:0002-8703
1097-6744
DOI:10.1016/j.ahj.2019.03.015