Logo

American Heart Association

  2
  0


Final ID: MDP1664

Ventricular Support Use and Mortality Rates in Cardiogenic Shock Between 2018-2023: A Report from the Northern New England Cardiovascular Disease Study Group

Abstract Body (Do not enter title and authors here): Background:
Despite advances in ventricular support devices, increasing awareness and multiple national initiatives to improve survival, mortality from cardiogenic shock remains high. Previous observational studies have shown decreased mortality rates with intra-aortic balloon pump usage over Impella. Relationship between support device use and overall survival in patients with cardiogenic shock remains an area of further investigation.

Aims: Our objective was to examine the temporal trends in the mortality and ventricular support in patients with cardiogenic shock undergoing PCI in Northern New England from 2018-2023.

Methods: The NNE registry was queried to identify patients presenting for PCI who manifest cardiogenic shock between 2018 and 2023. Shock was defined by the NCDR definition including sustained hypotension requiring inopressor use. Demographics, procedural data, mortality and intraprocedural ventricular support device use was collected. Standard statistical methods were used to calculate outcomes and statistical significance.

Results: A total of 842 patients were identified who presented with shock. Overall, in-hospital mortality was 30.9%, and varied from 27.72% in 2018 to 38.3% in 2021 during the height of the COVID-19 pandemic (Figure 1). Mechanical support use remained flat, with an average use of 56% of all cases (Figure 2). The distribution of intra-aortic balloon pumps and Impella devices changed, with Impella use increasing from around 41% in 2018 to 44% by the end of the study in 2023, and intra-aortic balloon pump usage declining from 55% in 2018 to 49% by 2023 (Figure 3). Data was limited to perform a correlation analysis between type of mechanical support device and mortality rates.

Conclusions: Despite using ventricular support in nearly 60% of cases, in-hospital mortality for cardiogenic shock remains around 30%. Our data reveals a trend towards higher Impella usage with declining intra-aortic balloon pump usage, interestingly with no change in mortality. This warrants further research to better understand how to optimize care for patients presenting with cardiogenic shock.
  • Rashid, Khaldoon  ( Dartmouth-Hitchcock Medical Center , Lebanon , New Hampshire , United States )
  • Lin, Isabelle  ( Geisel School of Medicine , West Lebanon , New Hampshire , United States )
  • Lutz, Daniel  ( Geisel School of Medicine , West Lebanon , New Hampshire , United States )
  • Devries, James  ( Dartmouth-Hitchcock Medical Center , Lebanon , New Hampshire , United States )
  • Author Disclosures:
    Khaldoon Rashid: DO NOT have relevant financial relationships | Isabelle Lin: DO NOT have relevant financial relationships | Daniel Lutz: DO NOT have relevant financial relationships | James DeVries: No Answer
Meeting Info:

Scientific Sessions 2024

2024

Chicago, Illinois

Session Info:

The Fortune Teller Will See You Now... Prognostication in the CICU

Monday, 11/18/2024 , 12:50PM - 02:15PM

Moderated Digital Poster Session

More abstracts on this topic:
A Multimodality Education Model Improves Healthcare Professionals' Competency in Managing Cardiovascular Risk Factors in Type 2 Diabetes: A Mixed-Methods Study

Madhusudhan Divya, Pressley Alyssa, El Sayed Nuha, Okeke Oge, Bradley Sarah, Blanco Caroline, Perla Esteban, Jennings Ruby, Picou Kylie, Mcweeny Patrick, Crabill Carrianne

A Meta-Analysis Comparing Same-Day Discharge to Later-Day Discharge in Transcatheter Aortic Valve Replacement

Jain Hritvik, Passey Siddhant, Jain Jyoti, Goyal Aman, Wasir Amanpreet, Ahmed Mushood, Patel Nandan, Yadav Ashish, Shah Janhvi, Mehta Aryan

More abstracts from these authors:
Mortality and Ventricular Support Use in Cardiogenic Shock between 2018-2023: A Report from the Northern New England Cardiovascular Disease Study Group

Devries James, Young Michael, Gupta Tanush, Ross Cathy, Rashid Khaldoon, Hassan Ansar, Chaudry Hannah, Lahoud Rony, Lin Isabelle, Rothstein Eric

Sex Differences in Mortality Following ST-Elevation Myocardial Infarction between 2019-2023 : Insights from the Northern New England Cardiovascular Disease Study Group

Lin Isabelle, Devries James, Gupta Tanush, Lahoud Rony, Chaudry Hannah, Rothstein Eric, Lutz Daniel, Ross Cathy, Flynn James, Hassan Ansar

You have to be authorized to contact abstract author. Please, Login
Not Available