Influence of Culprit Lesion Intervention on Outcomes in Infarct-Related Cardiogenic Shock With Cardiac Arrest

Cardiac arrest (CA) is common in patients with infarct-related cardiogenic shock (CS). The goal of this study was to identify the characteristics and outcomes of culprit lesion percutaneous coronary intervention (PCI) of patients with infarct-related CS stratified according to CA in the CULPRIT-SHOC...

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Veröffentlicht in:Journal of the American College of Cardiology 2023-03, Vol.81 (12), p.1165-1176
Hauptverfasser: Zeymer, Uwe, Alushi, Brunilda, Noc, Marko, Mamas, Mamas A., Montalescot, Gilles, Fuernau, Georg, Huber, Kurt, Poess, Janine, de Waha-Thiele, Suzanne, Schneider, Steffen, Ouarrak, Taoufik, Desch, Steffen, Lauten, Alexander, Thiele, Holger
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Sprache:eng
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Zusammenfassung:Cardiac arrest (CA) is common in patients with infarct-related cardiogenic shock (CS). The goal of this study was to identify the characteristics and outcomes of culprit lesion percutaneous coronary intervention (PCI) of patients with infarct-related CS stratified according to CA in the CULPRIT-SHOCK (Culprit Lesion Only PCI Versus Multivessel PCI in Cardiogenic Shock) randomized trial and registry. Patients with CS with and without CA from the CULPRIT-SHOCK study were analyzed. All-cause death or severe renal failure leading to renal replacement therapy within 30 days and 1-year death were assessed. Among 1,015 patients, 550 (54.2%) had CA. Patients with CA were younger, more frequently male, had lower rates of peripheral artery disease, a glomerular filtration rate 
ISSN:0735-1097
1558-3597
DOI:10.1016/j.jacc.2023.01.029