Cargando…
Cardiogenic shock teams and centres: a contemporary review of multidisciplinary care for cardiogenic shock
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 a...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8006679/ https://www.ncbi.nlm.nih.gov/pubmed/33452763 http://dx.doi.org/10.1002/ehf2.13180 |
_version_ | 1783672354484781056 |
---|---|
author | Moghaddam, Nima van Diepen, Sean So, Derek Lawler, Patrick R. Fordyce, Christopher B. |
author_facet | Moghaddam, Nima van Diepen, Sean So, Derek Lawler, Patrick R. Fordyce, Christopher B. |
author_sort | Moghaddam, Nima |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8006679 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-80066792021-04-01 Cardiogenic shock teams and centres: a contemporary review of multidisciplinary care for cardiogenic shock Moghaddam, Nima van Diepen, Sean So, Derek Lawler, Patrick R. Fordyce, Christopher B. ESC Heart Fail Reviews 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. John Wiley and Sons Inc. 2021-01-16 /pmc/articles/PMC8006679/ /pubmed/33452763 http://dx.doi.org/10.1002/ehf2.13180 Text en © 2021 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Reviews Moghaddam, Nima van Diepen, Sean So, Derek Lawler, Patrick R. Fordyce, Christopher B. Cardiogenic shock teams and centres: a contemporary review of multidisciplinary care for cardiogenic shock |
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 | Reviews |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8006679/ https://www.ncbi.nlm.nih.gov/pubmed/33452763 http://dx.doi.org/10.1002/ehf2.13180 |
work_keys_str_mv | AT moghaddamnima cardiogenicshockteamsandcentresacontemporaryreviewofmultidisciplinarycareforcardiogenicshock AT vandiepensean cardiogenicshockteamsandcentresacontemporaryreviewofmultidisciplinarycareforcardiogenicshock AT soderek cardiogenicshockteamsandcentresacontemporaryreviewofmultidisciplinarycareforcardiogenicshock AT lawlerpatrickr cardiogenicshockteamsandcentresacontemporaryreviewofmultidisciplinarycareforcardiogenicshock AT fordycechristopherb cardiogenicshockteamsandcentresacontemporaryreviewofmultidisciplinarycareforcardiogenicshock |