Cardiac Shock Care Centers: JACC Review Topic of the Week

Tanveer Rab, Supawat Ratanapo, Karl B. Kern, Mir Babar Basir, Michael McDaniel, Perwaiz Meraj, Spencer B. King, William O'Neill

Research output: Contribution to journalReview articlepeer-review

117 Scopus citations


Despite advances over the past decade, the incidence of cardiogenic shock secondary to acute myocardial infarction has increased, with an unchanged mortality near 50%. Recent trials have not clarified the best strategies in treatment. While dedicated cardiac shock centers are being established, there are no standardized agreements on the utilization of mechanical circulatory support and the timeliness of percutaneous coronary intervention strategies. In some centers and prospective registries, outcomes after placement of advanced mechanical circulatory support prior to reperfusion therapy with percutaneous coronary intervention have been encouraging with improved survival. Here, we suggest systems of care with a treatment pathway for patients with acute myocardial infarction complicated by cardiogenic shock.

Original languageEnglish (US)
Pages (from-to)1972-1980
Number of pages9
JournalJournal of the American College of Cardiology
Issue number16
StatePublished - Oct 16 2018


  • cardiogenic shock
  • care pathway
  • shock center

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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