HEART FAILURE: Edited by Jerry EstepUpdate on cardiogenic shock: from detection to team managementKhariton, Yevgeniy; Hassan, Ossama Abou; Hernandez-Montfort, Jaime A. Author Information Baylor Scott and White Health – Temple, Texas, USA Correspondence to Jaime A. Hernandez-Montfort, MD, Baylor Scott and White Health – Temple, 2401 South 31st Street, Temple, TX 76508, USA. Tel: +1 512 509 0100; e-mail: [email protected] Current Opinion in Cardiology 38(2):p 108-115, March 2023. | DOI: 10.1097/HCO.0000000000001017 Buy Metrics Abstract Purpose of review The following review is intended to provide a summary of contemporary cardiogenic shock (CS) profiling and diagnostic strategies, including biomarker and hemodynamic-based (invasive and noninvasive) monitoring, discuss clinical differences in presentation and trajectory between acute myocardial infarction (AMI)-CS and heart failure (HF)-CS, describe transitions to native heart recovery and heart replacement therapies with a focus on tailored management and emerging real-world data, and emphasize trends in team-based initiatives and interventions for cardiogenic shock including the integration of protocol-driven care. Recent findings This document provides a broad overview of contemporary scientific consensus statements as well as data derived from randomized controlled clinical trials and observational registry working groups focused on cardiogenic shock management. Summary This review highlights the increasingly important role of pulmonary artery catheterization in AMI-CS and HF-CS cardiogenic shock and advocates for routine application of algorithmic approaches with interdisciplinary care pathways. Cardiogenic shock algorithms facilitate the integration of clinical, hemodynamic, and imaging data to determine the most appropriate patient hemodynamic support platform to achieve adequate organ perfusion and decongestion. Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.
