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Temporal trends in incidence, causes, use of mechanical circulatory support and mortality in cardiogenic shock

ESC Heart Failure Mar 15, 2021

Schrage B, Becher PM, Goßling A, et al. - Researchers analyzed temporal trends in incidence, reasons, use of mechanical circulatory support, as well as mortality in cardiogenic shock in Germany. The dataset included 441,696 patients suffering from cardiogenic shock, mean age 71 (±13.8) years, 171,383 (39%) female patients. From 2005 to 2017, a rise in incidence rates was evident from 33.1/100 000 population (27 246 cases) to 51.7/100 000 population (42 779 cases), respectively. The most common reason for cardiogenic shock in 2005–07 was acute myocardial infarction, however, the proportion of cases attributable to it reduced until 2014–17. As per results of this large, nation‐wide study, a growth was observed in the annual incidence of cardiogenic shock, and alterations were noted in its etiologies as well as a high mortality was noted despite a shift towards use of novel mechanical circulatory support devices. These findings emphasize the requirement to address the evidence gap in this field, specifically for cardiogenic shock induced by disorders other than acute myocardial infarction.

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