About this trial
The registry objective is to get information on current epidemiology, diagnostics, treatment and outcome in patients with cardiogenic shock in Poland. Obtained information will help to plan the nationwide initiative for modern cardiogenic shock treatment with established place for mechanical circulatory support.
It is hypothesized that the treatment and outcome of cardiogenic shock, including mechanical circulatory support, are currently poor in Poland and should be improved. Unfortunately, without status quo data, efficient planning for its improvement cannot be conducted, hence the CaS-POL registry initiative.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Cardiogenic shock patients of all etiologies in SCAI stage B, C, D, E.
age > 18 years old
persistent hemodynamic failure defined as systolic blood pressure of <90 mmHg for ≥ 30 minutes or the requirement for inotropic or vasopressor agents with evidence of hypoperfusion of the peripheral organs
Disqualifiers
patients without return of spontaneous circulation who were considered to extracorporeal cardiopulmonary resuscitation (ECPR)
primary septic, anaphylactic, hypovolemic shock
post-operative cardiogenic shock
end-stage of heart failure disqualified from mechanical circulatory support and heart transplantation
Trial population
All patients admitted to the Intensive Care Unit (ICU) in the Cardiology, Cardiac Surgery, or to the Anesthesiology departments with a clinically evident cardiac etiology of shock.
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
all-cause mortality
all-cause mortality
Secondary outcomes
myocardial infarction
Recurrent myocardial infarction following an initial event
stroke
stroke following an initial event
heart transplantation
Heart transplantation in patients without myocardial recovery following cardiogenic shock.
long-term LVAD implantation
Long-term LVAD implantation in patients without myocardial recovery following cardiogenic shock
Sponsors and contacts
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Wroclaw Medical University
Lead sponsor
Polish Cardiac Society
Collaborator
Johnson & Johnson
Collaborator