Asian Pacific Society of Cardiology Consensus Statements on the Diagnosis and Management of Acute MI-Cardiogenic Shock and Endorsed by the Asian Pacific Society of Interventional Cardiology

Author:

Tan Jack Wei Chieh1ORCID,Chew Derek P2ORCID,Lo Sidney3,Henry Timothy D4,Lin Weiqin5ORCID,Chia Yew Woon6ORCID,Abdulaziz Salman7ORCID,Seth Ashok8ORCID,Yap Jonathan9ORCID,Evangelista Lauren Kay M10,Tsang Sunny Chun Fung11ORCID,Firman Doni12ORCID,Kinugawa Koichiro13,Ako Junya14ORCID,Kim Hyo-Soo15,Ghazi Azmee Bin Mohd16,KR Ramanathan17,Chen Yih-Sharng18,Meemook Krissada19,Wongpraparut Nattawut20ORCID,Nguyen Quang Ngoc21ORCID,Chieffo Adelle22,Lee Michael Kang Yin11ORCID

Affiliation:

1. Department of Cardiology, National Heart Centre Singapore, Singapore; Duke-NUS Medical School, Singapore; Department of Cardiology, Sengkang General Hospital, Singapore

2. Victorian Heart Hospital, Monash Health, Melbourne, Victoria, Australia; Victorian Heart Institute, Monash University, Melbourne, Victoria, Australia

3. Department of Cardiology, Liverpool Hospital, New South Wales, Australia

4. The Carl and Edyth Lindner Center for Research and Education, The Christ Hospital, Cincinnati, OH, US; The Christ Hospital Heart and Vascular Institute, Cincinnati, OH, US

5. Department of Cardiology, National University Heart Centre, Singapore; Yong Loo Lin School of Medicine, National University of Singapore, Singapore

6. Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Department of Cardiology, Tan Tock Seng Hospital, Singapore; Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore

7. Department of Health Abu Dhabi, United Arab Emirates

8. Fortis Escorts Heart Institute, New Delhi, India

9. Department of Cardiology, National Heart Centre Singapore, Singapore; Duke-NUS Medical School, Singapore; 3. Department of Cardiology, Sengkang General Hospital, Singapore

10. Division of Cardiovascular Medicine, University of the Philippines-Philippine General Hospital, Manila, Philippines

11. Division of Cardiology, Department of Medicine, Queen Elizabeth Hospital, Hong Kong, China

12. Harapan Kita National Cardiovascular Center, Jakarta, Indonesia; Department of Cardiology and Vascular Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia

13. Cardiovascular Medicine and Nephrology Department, University of Toyama, Toyama, Japan

14. Department of Cardiovascular Medicine, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan

15. Department of Cardiology, Seoul National University Hospital, Seoul, South Korea

16. Cardiology Department, National Heart Institute, Kuala Lumpur, Malaysia

17. Cardiothoracic Intensive Care Unit, National University Heart Centre, Singapore

18. Cardiovascular Surgery Division, National Taiwan University Hospital, Taipei, Taiwan

19. Ramathibodi Hospital, Mahidol University, Bangkok, Thailand

20. Department of Medicine; Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand

21. Department of Cardiology, Hanoi Medical University, Vietnam National Heart Institute, Hanoi, Vietnam

22. Vita-Salute San Raffaele University, Milan, Italy; IRCCS San Raffaele Scientific Institute, Milan, Italy

Abstract

In the Asia-Pacific region, acute MI (AMI) is associated with a high rate of cardiogenic shock (CS), which increases the risk of mortality several-fold. The management of AMI-CS in the region is heterogeneous and lacks consensus. Hence, an Asian Pacific Society of Cardiology working group developed consensus recommendations on the management of AMI-CS in the Asia-Pacific region. The Asian Pacific Society of Cardiology expert panel reviewed and appraised the available evidence using the Grading of Recommendations Assessment, Development, and Evaluation system. Consensus recommendations were developed and put to an online vote. Consensus was reached when 80% of votes for a given recommendation were ‘agree’ or ‘neutral.’ The resulting statements, which have been endorsed by the Asian Pacific Society of Interventional Cardiology and affirmed by the Society for Cardiovascular Angiography and Interventions, provide guidance on the diagnosis, assessment and treatment of patients with AMI-CS among clinical practitioners in the region.

Publisher

Radcliffe Media Media Ltd

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