未经证实:临时机械循环支持(MCS)通常用于心源性休克(CS)患者,MCS的类型可能因CS的原因而有所不同。
未经证实:本研究旨在描述接受临时MCS的患者出现CS的原因,使用的MCS类型,和相关的死亡率。
UNASSIGNED:这项研究使用了一个全国性的日本数据库,以确定在2012年4月1日至2020年3月31日期间接受临时MCS治疗的患者。
未经批准:在65,837名患者中,CS的病因为急性心肌梗死(AMI),占77.4%,心力衰竭(HF)占10.9%,瓣膜疾病占2.7%,暴发性心肌炎(FM)在2.5%,4.5%的心律失常,2.0%的病例和肺栓塞(PE)。最常用的MCS是在AMI(79.2%),HF(79.0%)和瓣膜疾病(66.0%)中单独使用主动脉内球囊泵,体外膜氧合与主动脉内球囊反搏在FM(56.2%)和心律失常(43.3%),PE中单独使用体外膜氧合(71.5%)。总体住院死亡率为32.4%;AMI为30.0%,32.6%的HF,瓣膜疾病占33.1%,34.2%的FM,60.9%的心律失常,PE为59.2%。总体住院死亡率从2012年的30.4%上升到2019年的34.1%。调整后,瓣膜疾病,FM,PE的住院死亡率低于AMI:瓣膜疾病,OR:0.56(95%CI:0.50-0.64);FM:OR:0.58(95%CI:0.52-0.66);PE:OR:0.49(95%CI:0.43-0.56);而HF的住院死亡率相似(OR:0.99;95%CI:0.92-1.05),心律失常的住院死亡率更高(OR:1.14;95%CI:1.04-1.26)。
UNASSIGNED:在日本国家注册的CS患者中,不同原因的CS与不同类型的MCS和生存差异有关。
UNASSIGNED: Temporary mechanical circulatory support (MCS) is often used in patients with cardiogenic shock (CS), and the type of MCS may vary by cause of CS.
UNASSIGNED: This study sought to describe the causes of CS in patients receiving temporary MCS, the types of MCS used, and associated mortality.
UNASSIGNED: This study used a nationwide Japanese database to identify patients receiving temporary MCS for CS between April 1, 2012, and March 31, 2020.
UNASSIGNED: Of 65,837 patients, the cause of CS was acute myocardial infarction (AMI) in 77.4%, heart failure (HF) in 10.9%, valvular disease in 2.7%, fulminant myocarditis (FM) in 2.5%, arrhythmia in 4.5%, and pulmonary embolism (PE) in 2.0% of cases. The most commonly used MCS was an intra-aortic balloon pump alone in AMI (79.2%) and in HF (79.0%) and in valvular disease (66.0%), extracorporeal membrane oxygenation with intra-aortic balloon pump in FM (56.2%) and arrhythmia (43.3%), and extracorporeal membrane oxygenation alone in PE (71.5%). Overall in-hospital mortality was 32.4%; 30.0% in AMI, 32.6% in HF, 33.1% in valvular disease, 34.2% in FM, 60.9% in arrhythmia, and 59.2% in PE. Overall in-hospital mortality increased from 30.4% in 2012 to 34.1% in 2019. After adjustment, valvular disease, FM, and PE had lower in-hospital mortality than AMI: valvular disease, OR: 0.56 (95% CI: 0.50-0.64); FM: OR: 0.58 (95% CI: 0.52-0.66); PE: OR: 0.49 (95% CI: 0.43-0.56); whereas HF had similar in-hospital mortality (OR: 0.99; 95% CI: 0.92-1.05) and arrhythmia had higher in-hospital mortality (OR: 1.14; 95% CI: 1.04-1.26).
UNASSIGNED: In a Japanese national registry of patients with CS, different causes of CS were associated with different types of MCS and differences in survival.