Acute cardiac care & resuscitation
Cardiogenic shock in the course of myocardial infarction: the results of the Shock-POL registry
Authors' conclusion
Short-term mortality rate of AMI-related CS still amounts to 50%, which advocates in favour of further research evaluating the true role of MCS in this population.
Study context
- Population
- Patients with acute myocardial infarction (AMI)-related cardiogenic shock (CS) hospitalized between January and December 2023
- Participants
- 141 patients
- Outcome
- In-hospital mortality
Methodological details9 cardiology centres across Poland
- 9 cardiology centres across Poland
Main finding
As reported in the abstract
In-hospital mortality rate
47.5%
n = 67
Observational data: associations, not effects.
Further findings
Independent predictors of in-hospital mortality (Cox proportional hazards model)
| Estimate | ||
|---|---|---|
| non-ST-elevation AMI | HR 2.38 (95% CI 1.19–4.75) | |
| Lack of the need for antibiotic therapy | HR 2.61 (95% CI 1.26–5.39) | |
| Age | unit HR 1.05 (95% CI 1.02–1.07) | |
| 0.20.5125Ratio (log scale) |
| Outcome | Unit HR (per 1 mmol/l) (95% CI) | |
|---|---|---|
| Independent predictors of in-hospital mortality (Cox proportional hazards model)Elevated lactates | 1.19 (1.11–1.27) | |
| 0.512Unit HR (log scale) |
30-day mortality
- 30-day mortality
- 51.8% (n = 73)
Society for Cardiovascular Angiography and Interventions class
- Class C
- n = 71, 50.4%
- Class D
- n = 46, 32.6%
- Class E
- n = 24, 17.0%
Revascularization
- Percutaneous coronary intervention
- 133 cases (94.3%)
- Coronary artery bypass graft
- 5 (3.5%)
Mechanical circulatory support (MCS)
- MCS used
- 33 patients (23.4%)
- Intra-aortic balloon pump
- n = 26, 18.4%
- Impella CP
- n = 6, 4.3%
- Impella 5.5
- n = 2, 1.4%
- Veno-arterial extracorporeal membrane oxygenation
- n = 10, 7.1%
Original publication
Cardiogenic shock in the course of myocardial infarction: the results of the Shock-POL registry. ESC Heart Fail. Published 26 February 2026. doi:10.
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