English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Zendy Open

Presents the pdf analysis as premium feature

PDF Analysis

Insights

Presents the summarisation as premium feature

Summarisation

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the zaia usage as premium feature

ZAIA

Zendy Tools

Zendy Plus

Presents the access of premium content as premium feature

Premium Content

Background  Cardiogenic shock ( CS ) is a serious complication of acute myocardial infarction, and the time of onset of  CS  has a potential role in influencing its prognosis. Limited contemporary data exist on this complication, however, especially from a population‐based perspective. Our study objectives were to describe decade‐long trends in the incidence, in‐hospital mortality, and factors associated with the development of  CS  in 3 temporal contexts: (1) before hospital arrival for acute myocardial infarction (prehospital  CS ); (2) within 24 hours of hospitalization (early  CS ); and (3) ≥24 hours after hospitalization (late  CS ).    Methods and Results  The study population consisted of 5782 patients with an acute myocardial infarction who were admitted to all 11 hospitals in central Massachusetts on a biennial basis between 2001 and 2011. The overall proportion of patients who developed  CS  was 5.2%. The proportion of patients with prehospital  CS  (1.6%) and late  CS  (1.5%) remained stable over time, whereas the proportion of patients with early  CS  declined from 2.2% in 2001–2003 to 1.2% in 2009–2011. In‐hospital mortality for prehospital  CS  increased from 38.9% in 2001–2003 to 53.6% in 2009–2011, whereas in‐hospital mortality for early and late  CS  decreased over time (35.9% and 64.7% in 2001–2003 to 15.8% and 39.1% in 2009–2011, respectively).    Conclusions  Development of prehospital and in‐hospital  CS  was associated with poor short‐term survival and the in‐hospital death rates among those with prehospital  CS  increased over time. Interventions focused on preventing or treating prehospital and late  CS  are needed to improve in‐hospital survival after acute myocardial infarction.

journal of the american heart association

Ten‐Year (2001–2011) Trends in the Incidence Rates and Short‐Term Outcomes of Early Versus Late Onset Cardiogenic Shock After Hospitalization for Acute Myocardial Infarction