Publications by authors named "Michael Hacala"
Background: Acute myocardial infarction complicated by cardiogenic shock (AMI-CS) is associated with significant morbidity and mortality. Mechanical circulatory support (MCS) devices increase systemic blood pressure and end organ perfusion while reducing cardiac filling pressures.
Methods And Results: The National Cardiogenic Shock Initiative (NCT03677180) is a single-arm, multicenter study.
Article Synopsis
- This study evaluated how acute myocardial infarction and cardiogenic shock patients fared during the COVID-19 pandemic compared to before it.
- It analyzed 406 patients, finding no significant differences in age, sex, or treatment times between the two periods, although more patients had ST-elevation myocardial infarction during COVID-19.
- Overall, patient care for AMICS has remained effective during the pandemic, with no notable impact on survival rates at discharge or one month later.
Background: The National Cardiogenic Shock Initiative is a single-arm, prospective, multicenter study to assess outcomes associated with early mechanical circulatory support (MCS) in patients presenting with acute myocardial infarction and cardiogenic shock (AMICS) treated with percutaneous coronary intervention (PCI).
Methods: Between July 2016 and February 2019, 35 sites participated and enrolled into the study. All centers agreed to treat patients with AMICS using a standard protocol emphasizing invasive hemodynamic monitoring and rapid initiation of MCS.