Acute cardiac care & resuscitation
Characteristics and Outcomes of Patients With Valvular Cardiogenic Shock
Authors' conclusion
VCS is associated with poor short and long outcomes. Native valvular dysfunction and aortic valve involvement account for the majority of patients with VCS.
Study context
- Population
- Patients with cardiogenic shock admitted to Cleveland Clinic cardiac ICU, 2010–2021
- Participants
- 2,754 patients
- Exposure
- VCS vs non-VCS cardiogenic shock
- VCSn = 442
- Outcome
- All-cause mortality
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
1-year mortality
P < 0.001
30-day mortality
P < 0.001
Observational data: associations, not effects.
Further findings
Age
P < 0.001
Female sex
P = 0.001
VCS aetiology: native vs prosthetic valve dysfunction
- Native valve dysfunction
- 71%
- Prosthetic valve dysfunction
- 29%
- Native vs prosthetic
- P < 0.001
- Aortic valve most commonly affected
Outcomes by treatment within VCS
- Surgical intervention associated with best short- and long-term outcomes vs percutaneous intervention and medical therapy alone
- P < 0.001
Original publication
Characteristics and Outcomes of Patients With Valvular Cardiogenic Shock. JACC Adv. Published 4 October 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →