Cardiogenic shock teams and centres: a contemporary review of multidisciplinary care for cardiogenic shock
Abstract Cardiogenic shock (CS) portends high morbidity and mortality in the contemporary era. Despite advances in temporary mechanical circulatory supports (MCS), their routine use in CS to improve outcomes has not been established. Delays in diagnosis and timely delivery of care, disparities in ac...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-04-01
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| Series: | ESC Heart Failure |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ehf2.13180 |
| _version_ | 1819168377601523712 |
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| author | Nima Moghaddam Sean vanDiepen Derek So Patrick R. Lawler Christopher B. Fordyce |
| author_facet | Nima Moghaddam Sean vanDiepen Derek So Patrick R. Lawler Christopher B. Fordyce |
| author_sort | Nima Moghaddam |
| collection | DOAJ |
| description | Abstract Cardiogenic shock (CS) portends high morbidity and mortality in the contemporary era. Despite advances in temporary mechanical circulatory supports (MCS), their routine use in CS to improve outcomes has not been established. Delays in diagnosis and timely delivery of care, disparities in accessing adjunct therapies such revascularization or MCS, and lack of a systematic approach to care of CS contribute to the poor outcomes observed in CS patients. There is growing interest for developing a standardized multidisciplinary team‐based approach in the management of CS. Recent prospective studies have shown feasibility of CS teams in improving survival across a spectrum of CS presentations. Herein, we will review the rationale for CS teams focusing on evidence supporting its use in streamlining care, optimizing revascularization strategies, and patient identification and MCS selection. The proposed structure and flow of CS teams will be outlined. An in‐depth analysis of four recent studies demonstrating improved outcomes with CS teams is presented. Finally, we will explore potential implementation hurdles and future directions in refining and widespread implementation of dedicated cross‐specialty CS teams. |
| first_indexed | 2024-12-22T19:02:38Z |
| format | Article |
| id | doaj.art-2741cde3afc84511bcc462376eb93fdf |
| institution | Directory Open Access Journal |
| issn | 2055-5822 |
| language | English |
| last_indexed | 2024-12-22T19:02:38Z |
| publishDate | 2021-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | ESC Heart Failure |
| spelling | doaj.art-2741cde3afc84511bcc462376eb93fdf2022-12-21T18:15:54ZengWileyESC Heart Failure2055-58222021-04-018298899810.1002/ehf2.13180Cardiogenic shock teams and centres: a contemporary review of multidisciplinary care for cardiogenic shockNima Moghaddam0Sean vanDiepen1Derek So2Patrick R. Lawler3Christopher B. Fordyce4Division of Cardiology, Department of Medicine University of British Columbia Vancouver British Columbia CanadaDivision of Cardiology University of Alberta Edmonton Alberta CanadaUniversity of Ottawa Heart Institute Ottawa Ontario CanadaPeter Munk Cardiac Centre University Health Network Toronto Ontario CanadaDivision of Cardiology, Department of Medicine University of British Columbia Vancouver British Columbia CanadaAbstract Cardiogenic shock (CS) portends high morbidity and mortality in the contemporary era. Despite advances in temporary mechanical circulatory supports (MCS), their routine use in CS to improve outcomes has not been established. Delays in diagnosis and timely delivery of care, disparities in accessing adjunct therapies such revascularization or MCS, and lack of a systematic approach to care of CS contribute to the poor outcomes observed in CS patients. There is growing interest for developing a standardized multidisciplinary team‐based approach in the management of CS. Recent prospective studies have shown feasibility of CS teams in improving survival across a spectrum of CS presentations. Herein, we will review the rationale for CS teams focusing on evidence supporting its use in streamlining care, optimizing revascularization strategies, and patient identification and MCS selection. The proposed structure and flow of CS teams will be outlined. An in‐depth analysis of four recent studies demonstrating improved outcomes with CS teams is presented. Finally, we will explore potential implementation hurdles and future directions in refining and widespread implementation of dedicated cross‐specialty CS teams.https://doi.org/10.1002/ehf2.13180Cardiogenic shockCardiogenic shock teamsCardiogenic shock centres |
| spellingShingle | Nima Moghaddam Sean vanDiepen Derek So Patrick R. Lawler Christopher B. Fordyce Cardiogenic shock teams and centres: a contemporary review of multidisciplinary care for cardiogenic shock ESC Heart Failure Cardiogenic shock Cardiogenic shock teams Cardiogenic shock centres |
| title | Cardiogenic shock teams and centres: a contemporary review of multidisciplinary care for cardiogenic shock |
| title_full | Cardiogenic shock teams and centres: a contemporary review of multidisciplinary care for cardiogenic shock |
| title_fullStr | Cardiogenic shock teams and centres: a contemporary review of multidisciplinary care for cardiogenic shock |
| title_full_unstemmed | Cardiogenic shock teams and centres: a contemporary review of multidisciplinary care for cardiogenic shock |
| title_short | Cardiogenic shock teams and centres: a contemporary review of multidisciplinary care for cardiogenic shock |
| title_sort | cardiogenic shock teams and centres a contemporary review of multidisciplinary care for cardiogenic shock |
| topic | Cardiogenic shock Cardiogenic shock teams Cardiogenic shock centres |
| url | https://doi.org/10.1002/ehf2.13180 |
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