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Journal article
Cardiogenic Shock in Older Adults: A Focus on Age-Associated Risks and Approach to Management: A Scientific Statement From the American Heart Association
Circulation (New York, N.Y.), v 149(14), pp e1051-e1065
02 Apr 2024
PMID: 38406869
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Cardiogenic shock continues to portend poor outcomes, conferring short-term mortality rates of 30% to 50% despite recent scientific advances. Age is a nonmodifiable risk factor for mortality in patients with cardiogenic shock and is often considered in the decision-making process for eligibility for various therapies. Older adults have been largely excluded from analyses of therapeutic options in patients with cardiogenic shock. As a result, despite the association of advanced age with worse outcomes, focused strategies in the assessment and management of cardiogenic shock in this high-risk and growing population are lacking. Individual programs oftentimes develop upper age limits for various interventional strategies for their patients, including heart transplantation and durable left ventricular assist devices. However, age as a lone parameter should not be used to guide individual patient management decisions in cardiogenic shock. In the assessment of risk in older adults with cardiogenic shock, a comprehensive, interdisciplinary approach is central to developing best practices. In this American Heart Association scientific statement, we aim to summarize our contemporary understanding of the epidemiology, risk assessment, and in-hospital approach to management of cardiogenic shock, with a unique focus on older adults.
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Details
- Title
- Cardiogenic Shock in Older Adults: A Focus on Age-Associated Risks and Approach to Management: A Scientific Statement From the American Heart Association
- Creators
- Vanessa Blumer - Inova Design SolutionsManreet K. Kanwar - Allegheny Hlth Network, Cardiovasc Inst, Pittsburgh, PA USAChristopher F. Barnett - Univ Calif San Francisco, San Francisco, CA USAJennifer A. Cowger - Ford Motor CompanyAbdulla A. Damluji - Johns Hopkins UniversityMaryjane Farr - College Station Medical CenterSarah J. Goodlin - Oregon Hlth & Sci Univ, Patient Ctr Educ & Res, Portland, OR USAJason N. Katz - College Station Medical CenterColleen K. Mcilvennan - Univ Colorado Cardiol, Aurora, CO USAShashank S. Sinha - Inova Design SolutionsTracy Y. Wang - John Tracy ClinicCouncil Cardiovasc Stroke Nursing
- Publication Details
- Circulation (New York, N.Y.), v 149(14), pp e1051-e1065
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 15
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Cardiology
- Web of Science ID
- WOS:001266179700006
- Scopus ID
- 2-s2.0-85187650553
- Other Identifier
- 991021932096704721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Cardiac & Cardiovascular Systems
- Peripheral Vascular Disease