Decreasing Incidence of Cardiogenic Shock

The incidence of development of shock during hospitalization in patients with MI decreased during the past 10 years, while the incidence of shock at admission did not change.

To determine trends in the incidence of cardiogenic shock and identify factors that influence outcomes, researchers analyzed medical records of 23,700 patients who were admitted to 70 hospitals in Switzerland with diagnoses of myocardial infarction from 1997 through 2006.

Of the 1977 patients (8.3%) in cardiogenic shock, 29% had shock on admission and 71% developed shock during hospitalization. Among patients hospitalized with MI, the incidence of developing shock during hospitalization declined significantly during the 10-year study period (from 11% to 3%), while the rate of shock on admission remained stable (at about 2% to 3%). Death rates from shock declined (from 63% to 48% overall), both in patients who had shock on admission and in th…

Reviewing Author

J. Stephen Bohan, MD, MS, FACP, FACEP

Disclosures

RoyaltiesKlint Law Firm

Editorial boardsCritical Decisions in Emergency Medicine

J. Stephen Bohan, MD, MS, FACP, FACEP

Disclosures

RoyaltiesKlint Law Firm

Editorial boardsCritical Decisions in Emergency Medicine