Journal article
Heart failure related cardiogenic shock: An ISHLT consensus conference content summary
The Journal of heart and lung transplantation, v 43(2), pp 189-203
Feb 2024
PMID: 38069920
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
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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Details
- Title
- Heart failure related cardiogenic shock: An ISHLT consensus conference content summary
- Creators
- Manreet K. Kanwar - Allegheny Health NetworkFilio Billia - University of TorontoVarinder Randhawa - University of TorontoJennifer A. Cowger - Ford Motor CompanyChristopher M. Barnett - University of California, San FranciscoSharon Chih - University of OttawaStephan Ensminger - University of LübeckJaime Hernandez-Montfort - Advanced Heart Disease, Recovery and Replacement Program, Baylor Scott and White Health, Temple, TexasShashank S. Sinha - Inova Fairfax HospitalEsther Vorovich - Northwestern UniversityAlastair Proudfoot - St Bartholomew's HospitalHoong S. Lim - University Hospitals Birmingham NHS Foundation TrustVanessa Blumer - Inova Fairfax HospitalDouglas L. Jennings - Columbia University Irving Medical CenterA. Reshad Garan - Beth Israel Deaconess Medical CenterMaria F. Renedo - Favaloro FoundationThomas C. Hanff - University of Utah HospitalDavid A. Baran - Cleveland Clinic FloridaChris Overgaard - University of California, San FranciscoJeffrey Teuteberg - Stanford UniversityCarolyn Rosner - Inova Design SolutionsDave Nagpal - University Hospital (Canada)Ziad Taimeh - Cleveland ClinicJacob Abraham - Providence CollegeVan-Khue Ton - Massachusetts General HospitalStavros Drakos - University of UtahBehnam Tehrani - Inova Design SolutionsAlexander Bernhardt - (Germany)Talha Meeran - RelianceP. Douglas Greig - Universidad Católica de Chile (Chile)Marta Farrero - Hospital Clínic de BarcelonaJason Katz - New York University (USA)Adriana Luk - University of TorontoCourtney Bennett - Mayo ClinicAlejandro Bertolotti - Universidad Nacional de Rosario (Argentina)Ryan J. Tedford - Medical University of South CarolinaRebecca Cogswell - University of MinnesotaLiviu Klein - University of California, San FranciscoCesar Y. Guerrero-Miranda - Baylor Scott and White (USA)Penelope Rampersad - Cleveland ClinicLuciano Potena - IRCCS Azienda Ospedaliero Universitaria di Bologna (Italy)Udo Boeken - University Hospital (Germany)Hannah Copeland - Lutheran Medical GroupShelley Hall - Baylor University Medical CenterJosé González-Costello - University Hospital of Bellvitge, IDIBELL, Ciber-CV (Spain)Navin K. Kapur - Tufts Medical CenterAntonio Loforte - University of TurinDaniel Burkhoff - Cardiovascular Research FoundationPascal LePrince - Sorbonne University (France)Finn Gustafsson - RigshospitaletNir Uriel - Texas Health DallasRachna Kataria - Brown UniversitySonali Arora - KIMS Hospital Heart and Lung Transplant Unit (India)Marco Masetti - IRCCS Azienda Ospedaliero Universitaria di Bologna (Italy)Diyar Saeed - Leipzig Heart Center (Germany)on behalf of the Consensus Conference participants
- Publication Details
- The Journal of heart and lung transplantation, v 43(2), pp 189-203
- Publisher
- Elsevier
- Number of pages
- 15
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Cardiology
- Web of Science ID
- WOS:001156796200001
- Scopus ID
- 2-s2.0-85182223141
- Other Identifier
- 991021932101704721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Cardiac & Cardiovascular Systems
- Respiratory System
- Surgery
- Transplantation