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Heart failure related cardiogenic shock: An ISHLT consensus conference content summary
Journal article   Open access   Peer reviewed

Heart failure related cardiogenic shock: An ISHLT consensus conference content summary

Manreet K. Kanwar, Filio Billia, Varinder Randhawa, Jennifer A. Cowger, Christopher M. Barnett, Sharon Chih, Stephan Ensminger, Jaime Hernandez-Montfort, Shashank S. Sinha, Esther Vorovich, …
The Journal of heart and lung transplantation, v 43(2), pp 189-203
Feb 2024
DOI: https://doi.org/10.1016/j.healun.2023.09.014
PMID: 38069920
Featured in Collection :   UN Sustainable Development Goals @ Drexel
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https://doi.org/10.1016/j.healun.2023.09.014View
Published, Version of Record (VoR) Open

Abstract

cardiogenic shock consensus statement global perspective heart failure shock mechanical circulatory support
In recent years, there have been significant advancements in the understanding, risk-stratification, and treatment of cardiogenic shock (CS). Despite improved pharmacologic and device-based therapies for CS, short-term mortality remains as high as 50%. Most recent efforts in research have focused on CS related to acute myocardial infarction, even though heart failure related CS (HF-CS) accounts for >50% of CS cases. There is a paucity of high-quality evidence to support standardized clinical practices in approach to HF-CS. In addition, there is an unmet need to identify disease-specific diagnostic and risk-stratification strategies upon admission, which might ultimately guide the choice of therapies, and thereby improve outcomes and optimize resource allocation. The heterogeneity in defining CS, patient phenotypes, treatment goals and therapies has resulted in difficulty comparing published reports and standardized treatment algorithms. An International Society for Heart and Lung Transplantation (ISHLT) consensus conference was organized to better define, diagnose, and manage HF-CS. There were 54 participants (advanced heart failure and interventional cardiologists, cardiothoracic surgeons, critical care cardiologists, intensivists, pharmacists, and allied health professionals), with vast clinical and published experience in CS, representing 42 centers worldwide. State-of-the-art HF-CS presentations occurred with subsequent breakout sessions planned in an attempt to reach consensus on various issues, including but not limited to models of CS care delivery, patient presentations in HF-CS, and strategies in HF-CS management. This consensus report summarizes the contemporary literature review on HF-CS presented in the first half of the conference (part 1), while the accompanying document (part 2) covers the breakout sessions where the previously agreed upon clinical issues were discussed with an aim to get to a consensus.

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Cardiac & Cardiovascular Systems
Respiratory System
Surgery
Transplantation
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