One-year outcomes in cardiogenic shock triggered by ventricular arrhythmia: An analysis of the FRENSHOCK multicenter prospective registry

被引：5

作者：

Cherbi, Miloud ^{[1
,2
]}

Roubille, Francois ^{[3
]}

Lamblin, Nicolas ^{[4
]}

Bonello, Laurent ^{[5
,6
,7
]}

Leurent, Guillaume ^{[8
]}

Levy, Bruno ^{[9
]}

Elbaz, Meyer ^{[1
,2
]}

Champion, Sebastien ^{[10
]}

Lim, Pascal ^{[11
,12
]}

Schneider, Francis ^{[13
]}

Cariou, Alain ^{[14
]}

Khachab, Hadi ^{[15
]}

Bourenne, Jeremy ^{[16
]}

Seronde, Marie-France ^{[17
]}

Schurtz, Guillaume ^{[4
]}

Harbaoui, Brahim ^{[18
,19
,20
]}

Vanzetto, Gerald ^{[21
]}

Quentin, Charlotte ^{[22
]}

Delabranche, Xavier ^{[23
]}

Aissaoui, Nadia ^{[15
]}

Combaret, Nicolas ^{[24
]}

Tomasevic, Danka ^{[25
]}

Marchandot, Benjamin ^{[26
]}

Lattuca, Benoit ^{[27
]}

Henry, Patrick ^{[28
]}

Gerbaud, Edouard ^{[29
,30
]}

Bonnefoy, Eric ^{[25
]}

Puymirat, Etienne ^{[31
,32
]}

Maury, Philippe ^{[1
,2
]}

Delmas, Clement ^{[1
,2
]}

机构：

[1] Rangueil Univ Hosp, Intens Cardiac Care Unit, Toulouse, France

[2] Natl Inst Hlth & Med Res INSERM, Inst Metab & Cardiovasc Dis I2MC, UMR 1048, Toulouse, France

[3] Univ Montpellier, Cardiol Dept, PhyMedExp, INSERM,CNRS,INI CRT,CHU Montpellier, Montpellier, France

[4] Univ Lille, Dept Cardiol Urgences & Soins Intens Cardiol, CHU Lille, Inserm,U1167, Lille, France

[5] Aix Marseille Univ, Marseille, France

[6] Hop Nord Marseille, AP HM, Dept Cardiol, Intens Care Unit, Marseille, France

[7] Mediterranean Assoc Res & Studies Cardiol MARS Car, Marseille, France

[8] Univ Rennes 1, Dept Cardiol, CHU Rennes, Inserm,LTSI,UMR 1099, Rennes, France

[9] CHRU Nancy, Reanimat Med Brabois, Nancy, France

[10] CHU Toulouse, Inst St Jacques, REICATRA, Le Chesnay, France

[11] Univ Paris Est Creteil, INSERM, IMRB, Creteil, France

[12] Hop Univ Henri Mondor, AP HP, Serv Cardiol, Creteil, France

[13] Hop Univ Strasbourg, Hop Hautepierre, Med Intens Reanimat, Strasbourg, France

[14] Ctr Univ Paris, Cochin Hosp, AP HP, Med Sch,Med Intens Care Unit, Paris, France

[15] CH Aix En Provence, Dept Cardiol, Intens Cardiac Care Unit, Aix En Provence, France

[16] Aix Marseille Univ, Serv Reanimat Urgences, CHU La Timone 2, Marseille, France

[17] CHU Besancon, Serv Cardiol, Besancon, France

[18] Hop Croix Rousse, Hop Lyon Sud, Cardiol Dept, Hosp Civils Lyon, Lyon, France

[19] Hosp Civils Lyon, Hop Lyon Sud, Lyon, France

[20] Univ Lyon, Dept Cardiol, CREATIS, INSERM,U1044,UMR5220,INSA 15, Lyon, France

[21] Hop Grenoble, Dept Cardiol, Grenoble, France

[22] Ctr Hosp Broussais, Serv Reanimat Polyvalente, 1 Rue Marne, St Malo, France

[23] Les Hop Univ Strasbourg, Nouvel Hop Civil 1, Porte Hop, Reanimat Chirurg Polyvalente,Pole Anesthesie Reani, Strasbourg, France

[24] Univ Clermont Auvergne, Dept Cardiol, CHU Clermont Ferrand, CNRS, Clermont Ferrand, France

[25] Lyon Brom Univ Hosp, Intens Cardiac Care Unit, Lyon, France

[26] Univ Strasbourg, Nouvel Hop Civil, CHU Strasbourg, Pole Act Medicochirurg Cardiovasc, Strasbourg, France

[27] Univ Montpellier, Nimes Univ Hosp, Dept Cardiol, Nimes, France

[28] Hop Lariboisiere, AP HP, Dept Cardiol, Paris, France

[29] Hop Cardiol Haut Leveque, Intens Cardiac Care Unit & Intervent Cardiol, Pessac, France

[30] Bordeaux Univ, Hop Xavier Arnozan, Bordeaux Cardiothorac Res Ctr, U1045, Pessac, France

[31] Hop Europeen Georges Pompidou, AP HP, Dept Cardiol, Paris, France

[32] Univ Paris, Paris, France

来源：

FRONTIERS IN CARDIOVASCULAR MEDICINE | 2023年 / 10卷

关键词：

cardiogenic shock; ventricular tachycardia; ventricular arrhythmia; epidemiology; prognosis; IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR; CARDIAC RESYNCHRONIZATION; CARDIOMYOPATHY PATIENTS; DILATED CARDIOMYOPATHY; SHORT-TERM; MORTALITY; ABLATION;

D O I：

10.3389/fcvm.2023.1092904

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Cardiogenic shock (CS) is a life-threatening condition carrying poor prognosis, potentially triggered by ventricular arrhythmia (VA). Whether the occurrence of VA as trigger of CS worsens the prognosis compared to non-VA triggers remains unclear. The aim of this study was to evaluate 1-year outcomes [mortality, heart transplantation, ventricular assist devices (VAD)] between VA-triggered and non-VA-triggered CS.Methods: FRENSHOCK is a prospective multicenter registry including 772 CS patients from 49 centers. One to three triggers can be identified in the registry (ischemic, mechanical complications, ventricular/supraventricular arrhythmia, bradycardia, iatrogenesis, infection, non-compliance). Baseline characteristics, management and 1-year outcomes were analyzed according to the VA-trigger in the CS population.Results: Within 769 CS patients included, 94 were VA-triggered (12.2%) and were compared to others. At 1 year, although there was no mortality difference [42.6 vs. 45.3%, HR 0.94 (0.67-1.30), p = 0.7], VA-triggered CS resulted in more heart transplantations and VAD (17 vs. 9%, p = 0.02). Into VA-triggered CS group, though there was no 1-year mortality difference between ischemic and non-ischemic cardiomyopathies [42.5 vs. 42.6%, HR 0.97 (0.52-1.81), p = 0.92], non-ischemic cardiomyopathy led to more heart transplantations and VAD (25.9 vs. 5%, p = 0.02).Conclusion: VA-triggered CS did not show higher mortality compared to other triggers but resulted in more heart transplantation and VAD at 1 year, especially in non-ischemic cardiomyopathy, suggesting the need for earlier evaluation by advanced heart failure specialized team for a possible indication of mechanical circulatory support or heart transplantation.

引用

页数：11

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