Cardiogenic Shock Consensus Document
Two
new ISHLT Standards & Guidelines Consensus Documents have been published in JHLT and
are available to read online! Led by Manreet Kanwar, MD and David Baran, MD these two documents are the result of the 2022 Consensus Conference on Cardiogenic Shock:
- Heart Failure Related Cardiogenic Shock: An ISHLT Consensus Conference: Content Summary
- Consensus Statements from the ISHLT Consensus Conference: Heart Failure Related Cardiogenic Shock
Cardiogenic shock is an area of keen interest among the ISHLT members, and no consensus exists regarding the best practices in initial triage, evaluation, and management. On 26 April, 2022, 54 participants from 42 centers in 11 countries participated in an ISHLT Consensus Conference in Boston, MA USA. The group was broken into Task Forces to address three key topics related to heart failure cardiogenic shock:
- Task Force 1: Focus on Centers: Models of Cardiogenic Shock Care with discussions on systems of care in CS, with global perspectives on implementation and integration CS care, teams, and networks.
- Task Force 2: Focus on Patients: Presentations in Heart Failure Related Cardiogenic Shock with discussions on the approach to the initial evaluation of patients in HF-CS, phenotypes, risk-stratification, and goals of treatment.
- Task Force 3: Focus on Management: Strategies in Heart Failure Related Cardiogenic Shock Management with discussions on management of HF-CS, hemodynamic mechanisms, and escalation/de-escalation strategies using tMCS.
Other topics discussed include the “hub-and-spoke” model versus a tier-based network, minimum levels of data to communicate when considering transfer, disciplines which should be involved in a “shock team”, goals for mechanical circulatory support device selection, and optimal flow on such devices.