AMI Cardiogenic Shock

Clinical Evidence

Kaplan Meier curve DanGer RCT Kaplan Meier curve DanGer RCT

DanGer Shock Randomized Controlled Trial (RCT) Confirms Routine Use of Impella CP® Heart Pump Improves Survival in Heart Attack with Shock

This investigator-initiated study is the first RCT of Impella in cardiogenic shock (CS), assessed the efficacy of Impella CP® with or without SmartAssist® heart pumps in treating patients with AMICS shock due to STEMI, undergoing emergency PCI.4

 

DanGer Shock Results from Dr. Jacob Møller at ACC 2024

Jacob Møller, MD, the principal investigator of the DanGer Shock trial, discusses study results he presented at ACC 2024.

Based on Figure 5 from the National Cardiogenic Shock Initiative best practices. Based on Figure 5 from the National Cardiogenic Shock Initiative best practices.

Key Findings from the National Cardiogenic Shock Initiative Study

Early Utilization of Mechanical Circulatory Support in Acute Myocardial Infarction Complicated by Cardiogenic Shock1,2,3

  • Identify and support cardiogenic shock early
  • Turn down titriation of inotropes aggressively
  • Identify inadequate left ventricular (LV) support and escalate, if CPO <0.6
  • Identify right ventricular (RV) dysfunction early and support
  • Systematically use right heart catheter (RHC) to guide therapy

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Clinical Evidence has Established Safety and Effectiveness and Validated Best Practices

Infographic: Impella clinical pathway to class I recommendation for AMI cardiogenic shock Infographic: Impella clinical pathway to class I recommendation for AMI cardiogenic shock

Clinical evidence of Impella systems has established safety and effectiveness and validated best practices.

 

European Best Practices: From Patient Selection to Escalation Strategies – Mechanical Circulatory Support in Cardiogenic Shock

Experts throughout Europe have contributed to these publications in the European Heart Journal Supplements. Their articles discuss best practices for successfully managing mechanical circulatory support (MCS) in patients with cardiogenic shock.

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References

  1. Tehrani, B.N., et al. (2019). JACC. 73, 1659-1669.
  2. Basir, M.B., et al. (2019). Catheter Cardiovasc Interv, 93(7), 1173-1183.
  3. O’Neill, W.W., TCT 2020.
  4. Møller, J., et al. (2024). Microaxial Flow Pump or Standard Care in Infarct-Related Cardiogenic Shock. N Engl J Med.

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