Acute cardiac care & resuscitation
Ventilation Strategies in Cardiogenic Shock: Insights from the AltShock-2 Registry
Authors' conclusion
Compared to previous studies, we observed a rising trend in the utilization of NIV among cardiogenic shock patients, irrespective of aetiology and SCAI stages.
Study context
- Population
- Patients with cardiogenic shock, enrolled March 2020 to November 2023
- Participants
- 657 patients
- Exposure
- Non-invasive ventilation (NIV) vs invasive mechanical ventilation (iMV) vs oxygen therapy
- Oxygen therapy (OT)n = 198
- NIVn = 96
- iMVn = 363reference
- Outcome
- All-cause mortality
- Follow-up
- 60 days
Main finding
As reported in the abstract
Hazard ratio
1.97
95% CI 0.85–4.56
By group
NIVvs iMV
HR 1.97 (95% CI 0.85–4.56)
- 60-day mortality differed across the three groups, even after excluding cardiac arrest at presentation
- P = 0.005
Observational data: associations, not effects.
Further findings
All-cause mortality · 24 h
- Did not differ amongst the three groups
Original publication
Ventilation Strategies in Cardiogenic Shock: Insights from the AltShock-2 Registry. Eur J Heart Fail. Published 6 August 2024. doi:10.
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