{"id":"cb321256a2c5","type":"article","url":"https://hartvaat.nl/2026/02/26/cardiogene-shock-bij-myocardinfarct-resultaten-van-het-shock-pol-register/","title":"Cardiogene shock bij myocardinfarct: resultaten van het Shock-POL-register","title_en":"Cardiogenic shock in the course of myocardial infarction: the results of the Shock-POL registry.","category":"hartfalen","category_label":"Hartfalen","professions":["cardioloog"],"tags":["acuut-hartfalen","cardiogene-shock","myocardinfarct"],"journal":"ESC heart failure","doi":"10.1093/eschf/xvag066","source_url":"https://doi.org/10.1093/eschf/xvag066","authors":["Maciej T Wybraniec","Artur Sufryd","Małgorzata Cichoń","Tomasz Tokarek","Dominika Dykla","Aleksander Zeliaś","Katarzyna Holcman","Sylwia Szczepara","Robert Kowalik","Anna Fojt","Agnieszka Kapłon-Cieślicka","Mikołaj Błaziak","Mateusz Sokolski","Michał Tkaczyszyn","Wiktor Kuliczkowski","Paweł Gąsior","Paweł Pawlus","Wojciech Wojakowski","Beata Morawiec","Damian Kawecki","Andrzej Kułach","Grzegorz Smolka","Adam Janas","Katarzyna Mizia-Stec","Krystian Wita"],"significance":5,"published":"2026-03-02","source_date":"2026-02-26","image":"","kennis":["https://hartvaat.nl/kennis/hartfalen/cardiogene-shock/"],"congress":"","summary_en":"The Shock-POL registry documented current management patterns, mortality rates, and risk factors in patients with cardiogenic shock complicating acute myocardial infarction across nine Polish cardiology centres.","created":"2026-07-03T10:32:30Z","updated":"2026-07-03T13:31:26Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"Het Shock-POL-register, gepubliceerd in ESC Heart Failure, beschrijft de behandeling en uitkomsten van patiënten met cardiogene shock in het beloop van een acuut myocardinfarct. Het register biedt inzicht in actuele behandelpatronen, mortaliteit en risicofactoren in een Oost-Europese populatie.","abstract_original":"AIMS: Cardiogenic shock (CS) represents an ominous complication of acute myocardial infarction (AMI) with mortality rate exceeding 50%. The aim of the study was to evaluate current management, outcomes and risk factors of mortality of AMI-related CS. METHODS: This snap-shot registry evaluated all patients with AMI-related CS hospitalized in 9 cardiology centers across Poland between January and December 2023. The inclusion criteria involved CS defined as prolonged (>20 min) hypotension with signs of peripheral hypoperfusion and diagnosis of AMI qualified for urgent coronary angiography. The primary endpoint was in-hospital mortality. RESULTS: The study comprised 141 patients (72.3% men; mean age was 69.2 [14] years). The majority of patients were in Society for Cardiovascular Angiography and Interventions class C (n=71,50.4%), followed by class D (n=46,32.6%) and class E (n=24,17.0%). Percutaneous coronary intervention was performed in 133 cases (94.3%) while coronary artery bypass graft in 5 (3.5%). Mechanical circulatory support (MCS) was used in 33 patients (23.4%) and involved intra-aortic balloon pump (n=26,18.4%), Impella CP (n=6,4.3%), Impella 5.5 (n=2,1.4%) and veno-arterial extracorporeal membrane oxygenation (n=10,7.1%). In-hospital mortality rate was 47.5% (n=67), while 30-day mortality was 51.8% (n=73). Cox proportional hazards model showed that non-ST-elevation AMI (HR=2.38,95%CI:1.19-4.75), lack of the need for antibiotic therapy (HR=2.61, 95%CI:1.26-5.39), elevated lactates (unit HR per 1 mmol/l=1.19, 95%CI:1.11-1.27) and age (unit HR=1.05; 95%CI:1.02-1.07) were independent predictors of in-hospital mortality. CONCLUSIONS: Short-term mortality rate of AMI-related CS still amounts to 50%, which advocates in favor of further research evaluating the true role of MCS in this population."}