Publications by authors named "Marinela Ruka"

Article Synopsis
  • The study evaluates the impact of right bundle branch block (RBBB) and left bundle branch block (LBBB) on the prognosis of patients with cardiogenic shock (CS), focusing on 30-day mortality rates.
  • It involved 248 adult patients from an ICU in Germany, finding that those with RBBB had the highest mortality at 72.5%, compared to 52.9% for LBBB and 50.0% for no block.
  • RBBB significantly predicted increased mortality even after adjusting for key health indicators, while LBBB showed no significant association with mortality outcomes.
View Article and Find Full Text PDF
Article Synopsis
  • The study looked at how tricuspid regurgitation (TR), a heart problem, affects patients who are in cardiogenic shock (CS), which is a serious condition where the heart can't pump enough blood.
  • Researchers checked medical records and used special tests to see how different levels of TR influenced how long patients survived after 30 days.
  • They found that patients with severe TR had a higher chance of dying within 30 days compared to those with less severe TR, especially in patients without a heart attack.
View Article and Find Full Text PDF

Introduction: The presence of acute kidney injury (AKI) was shown to increase the risk of mortality following acute myocardial infarction; however, data regarding the prognostic impact of early AKI in patients with concomitant cardiogenic shock (CS) is limited. The study investigates predictors and the prognostic impact of AKI in patients with CS.

Methods: Consecutive patients with CS from 2019 to 2021 were included at one institution.

View Article and Find Full Text PDF

Background And Aims: This study investigates the prognostic impact of body mass index (BMI) on the risk of 30-day all-cause mortality in patients with cardiogenic shock (CS). Due to ongoing epidemiological developments, the characteristics of patients with cardiovascular disease are consistently changing. Especially increasing rates of obesity and associated comorbidities have been observed.

View Article and Find Full Text PDF

Background: The study investigates the prognostic impact of D-dimer levels in patients with cardiogenic shock (CS). Although D-dimer levels were found to be associated with prognosis in various clinical settings such as heart failure or acute myocardial infarction (AMI), the prognostic role of D-dimer levels in CS patients has not yet been clarified.

Methods: Consecutive CS patients with and without concomitant AMI were prospectively included from 2019 to 2021.

View Article and Find Full Text PDF
Article Synopsis
  • This study assesses the predictive value of the tricuspid annular plane systolic excursion (TAPSE) and its ratio to pulmonary artery systolic pressure (PASP) in patients experiencing cardiogenic shock (CS).
  • The research involved analyzing 90 patients admitted for CS over a two-year period and found that both TAPSE and the TAPSE/PASP ratio could predict 30-day mortality, particularly with lower values indicating worse outcomes.
  • However, while the TAPSE <18 mm was a significant predictor of 30-day all-cause mortality, the TAPSE/PASP ratio did not enhance mortality risk prediction when adjusted for other variables.
View Article and Find Full Text PDF
Article Synopsis
  • * It involved 217 CS patients, revealing a high overall mortality rate of 56% within 30 days, with findings showing that higher cTNI levels were linked to increased mortality risk, while NT-proBNP did not demonstrate significant predictive value.
  • * Statistical analyses indicated that cTNI could effectively differentiate between survivors and non-survivors (AUC = 0.669), confirming its importance as a prognostic biomarker for 30-day all
View Article and Find Full Text PDF

Background: As a result of improved and novel treatment strategies, the spectrum of patients with cardiovascular disease is consistently changing. Overall, those patients are typically older and characterized by increased burden with comorbidities. Limited data on the prognostic impact of age in cardiogenic shock (CS) is available.

View Article and Find Full Text PDF

This study investigates the prognostic value of the aspartate-to-alanine aminotransferase ratio (i.e., AST/ALT ratio) and bilirubin in patients with cardiogenic shock (CS).

View Article and Find Full Text PDF

Atrial fibrillation (AF) is associated with increased risk of mortality in various clinical conditions. However, the prognostic role of preexisting and new-onset AF in critically ill patients, such as patients with septic or cardiogenic shock remains unclear. This study investigates the prognostic impact of preexisting and new-onset AF on 30-day all-cause mortality in patients with septic or cardiogenic shock.

View Article and Find Full Text PDF

Background: The spectrum of patients with cardiogenic shock (CS) has changed significantly over time. CS has become especially more common in the absence of acute myocardial infarction (AMI), while this subset of patients was typically excluded from recent studies. Furthermore the prognostic impact of onset time and onset place due to CS has rarely been investigated.

View Article and Find Full Text PDF

Background: Data regarding the short-term prognostic impact of hemoglobin levels in cardiogenic shock (CS) patients is limited. The study examines the prognostic impact of hemoglobin levels in patients with CS.

Methods: Consecutive patients with CS of any etiology from 2019 to 2021 were included at one institution.

View Article and Find Full Text PDF

Although previous studies investigated the influence of cardiovascular risk (CVR) factors in patients with acute coronary syndrome, data concerning the effect of CVR factors on the prognosis of patients with cardiogenic shock (CS) is scarce. Consecutive patients with CS were prospectively included from 2019 to 2021. The prognosis of patients with "low CVR" (i.

View Article and Find Full Text PDF

Objective: The study investigates the prognostic impact of the prothrombin time/international normalized ratio (PT/INR) in patients with cardiogenic shock.

Background: Despite ongoing improvements regarding the treatment of cardiogenic shock patients, intensive care unit (ICU)-related mortality in cardiogenic shock patients remains unacceptably high. Limited data regarding the prognostic value of the PT/INR during the course of cardiogenic shock treatment is available.

View Article and Find Full Text PDF

This study investigates the prognostic impact of albumin levels in patients with cardiogenic shock (CS). Intensive care unit (ICU) related mortality in CS patients remains unacceptably high despite improvement concerning the treatment of CS patients. Limited data regarding the prognostic value of albumin in patients with CS is available.

View Article and Find Full Text PDF

Objective: The study investigates the prognostic impact of cardiogenic shock (CS) stratified by the presence or absence of acute myocardial infarction (AMI).

Background: Intensive care unit (ICU) related mortality in CS patients remains unacceptably high despite improvement concerning the treatment of CS patients.

Methods: Consecutive patients with CS from 2019 to 2021 were included monocentrically.

View Article and Find Full Text PDF

Background: Mortality rates following cardiogenic shock (CS) have stagnated on an unacceptably high level. Limited data regarding the prognostic value of sex in patients suffering from CS is available. Therefore, this study aims to investigate the prognostic value of sex in patients with CS.

View Article and Find Full Text PDF

Cardiogenic Shock (CS) complicated by in-hospital (IHCA) or out-of-hospital cardiac arrest (OHCA) has a poor outcome. However, studies regarding the prognostic differences between IHCA and OHCA in CS are limited. In this prospective, observational study, consecutive patients with CS were included in a monocentric registry from June 2019 to May 2021.

View Article and Find Full Text PDF

This study examines the prognostic impact of C-reactive protein (CRP) and white blood cell (WBC) counts in patients with cardiogenic shock (CS). Data regarding the prognostic impact of inflammatory biomarkers in CS are scarce. All consecutive patients with CS from 2019 to 2021 admitted to a cardiac intensive care unit (ICU) were included at one institution.

View Article and Find Full Text PDF

In patients with cardiogenic shock (CS) due to myocardial infarction, elevated lactate levels are known to be negative predictors. Studies regarding the prognostic impact in patients with CS complicated by out-of-hospital cardiac arrest (OHCA) are limited. Two hundred and sixty-three consecutive patients with CS were included.

View Article and Find Full Text PDF