Network meta-analysis of temporary mechanical circulatory support in acute myocardial infarction cardiogenic shock

We performed a network meta-analysis of 11 published randomized clinical trials examining the use of temporary mechanical circulatory support (MCS) devices in adults with acute myocardial infarction cardiogenic shock, including 1,053 total patients with an observed in-hospital or 30-day mortality of...

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Veröffentlicht in:The American heart journal 2023-12, Vol.266, p.184-187
Hauptverfasser: Jentzer, Jacob C., Watanabe, Atsuyuki, Kuno, Toshiki, Bangalore, Sripal, Alviar, Carlos L.
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container_title The American heart journal
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creator Jentzer, Jacob C.
Watanabe, Atsuyuki
Kuno, Toshiki
Bangalore, Sripal
Alviar, Carlos L.
description We performed a network meta-analysis of 11 published randomized clinical trials examining the use of temporary mechanical circulatory support (MCS) devices in adults with acute myocardial infarction cardiogenic shock, including 1,053 total patients with an observed in-hospital or 30-day mortality of 40.4%. None of the temporary MCS devices was associated with lower in-hospital or 30-day mortality compared with initial medical therapy or any other MCS device, either individually or in combination. These data do not support the routine use of temporary MCS devices for the purpose of reducing short-term mortality in unselected patients with acute myocardial infarction cardiogenic shock.
doi_str_mv 10.1016/j.ahj.2023.08.002
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source Elsevier ScienceDirect Journals
subjects Cardiac arrest
Clinical trials
Extracorporeal membrane oxygenation
Funding
Heart attacks
Hemodynamics
Hospitals
Medical prognosis
Meta-analysis
Mortality
Myocardial infarction
Patients
title Network meta-analysis of temporary mechanical circulatory support in acute myocardial infarction cardiogenic shock
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