Should We Emergently Revascularize Occluded Coronaries for Cardiogenic Shock (SHOCK) trial
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Introduction
Study characteristics:
- 302 patients with acute myocardial infarction, who developed cardiogenic shock within 36 hours of admission
Groups:
- percutaneous coronary intervention, or CABG within 6 hours of randomization
- medical management*, including thrombolyis (63&)
* PCI or CABG allowed after 54 hours (25%)
Results
- benefits of early revascularization (PCI, CABG) persists at 1, 3 & 6 years
- survival at 1 year 13% better in intervention group
- 67% improvement in 6 year survival in intervention group
More general terms
References
- ↑ Hochman JS et al, Early revascularization and long-term survival in cardiogenic shock complicating myocardial infarction. JAMA 2006; 295:2511 PMID: https://www.ncbi.nlm.nih.gov/pubmed/16757723