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Registro Nacional Argentino de Shock Cardiogénico (ReNa-SHOCK);
Argentine National Registry of Cardiogenic Shock (ReNa-SHOCK)

Creators:castillo costa, yanina beatriz; Area de Investigación SAC, García Aurelio, Mauro J., Mauro, Víctor M., Villarreal, Ricardo, Piombo, Alfredo C., Macín, Stella M., Mansilla, Francisco, Kevorkian, Rubén, Zylbersztejn, Horacio M., Gagliardi, Juan A.
2016-06-28

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Descripción

El shock cardiogénico (SC) es una complicación grave del IAM y constituye una de sus principales causas de muerte. Objetivos: Conocer las características clínicas, estrategias de tratamiento y evolución intrahospitalaria del SC en Argentina. Materiales y métodos: Se realizó un registro prospectivo, multicéntrico de pacientes internados con SC en el contexto de los síndromes coronarios agudos (SCA) con y sin elevación del segmento ST entre el 2013 y 2015 en 64 centros de Argentina. Resultados: Se incluyeron 165 pacientes, edad: 66 (58-76,5) años, 65% hombres. El 75% de los casos cursaba un SCA con elevación del ST. El 8,5% estuvo asociado a complicaciones mecánicas y el 6,7% a compromiso de VD. El 56% presentaba SC al ingreso. Requirieron inotrópicos un 95%, ARM 78%, catéter de Swan Ganz 44%, balón de contrapulsación intraaórtico 37%. El 84% de los SCA con ST (104/124p) se reperfundieron. La mediana de tiempo desde el inicio de los síntomas al ingreso fue de 240min (132-720). El 80% recibió angioplastia primaria. La mortalidad intrahospitalaria global fue 54 %, sin diferencias entre los SCA con o sin ST. Asimismo, no hubo diferencia en la frecuencia de eventos y uso de procedimientos entre los SCA con o sin ST. Conclusiones: La morbi-mortalidad es elevada a pesar de la utilización de las estrategias de tratamiento disponibles.

Background: Cardiogenic shock is a severe complication of myocardial infarction and constitutes one of the leading causes of deathassociated with this condition; yet, the information available in our country is limited.Objective: The aim of this study was to learn the clinical characteristics, treatment strategies and in-hospital outcome of cardiogenicshock in Argentina.Methods: A prospective, multicenter registry of patients hospitalized with cardiogenic shock in the context of acute coronary syndromeswith and without ST-segment elevation was conducted in 64 centers of Argentina between 2013 and 2015.Results: The cohort consisted of 165 patients with mean age of 66 (58-76.5) years; 65% were men. Seventy-five percent of cases wereST-segment elevation acute coronary syndromes; 8.5% were associated with mechanical complications and 6.7% had right ventricularinvolvement. Fifty-six percent presented with cardiogenic shock on admission. Ninety five percent of patients required inotropicagents, 78% mechanical ventilation, 44% Swan-Ganz catheter insertion and 37% intra-aortic balloon pump. Eighty-four percent ofST-segment elevation acute coronary syndromes (104/124 patients) were reperfused. Median time from symptom onset to admissionwas 240 minutes (132-720) and 80% of patients underwent primary percutaneous coronary intervention. Overall in-hospital mortalitywas 54% without differences between acute coronary syndromes with or without ST-segment elevation and neither were theredifferences between both syndrome presentations in the incidence of events and use of procedures.Conclusions: The characteristics of cardiogenic shock in Argentina are similar to those of populations worldwide. Morbidity andmortality are high despite the use of available treatment strategies.

Metadatos destacados

Colecciones
Argentine Journal of Cardiology

Editor

Sociedad Argentina de Cardiología

Fuente

Revista Argentina de Cardiología; Vol 84, No 3 (2016); 228-235, Argentine Journal of Cardiology; Vol 84, No 3 (2016); 228-235

Citación

castillo costa, yanina beatriz; Area de Investigación SAC et al., “Registro Nacional Argentino de Shock Cardiogénico (ReNa-SHOCK),” Archivo PPCT, consulta 2 de abril de 2026, http://archivoppct.caicyt.gov.ar/items/show/8680.

Dublin Core

Materia

Autor

castillo costa, yanina beatriz; Area de Investigación SAC
García Aurelio, Mauro J.
Mauro, Víctor M.
Villarreal, Ricardo
Piombo, Alfredo C.
Macín, Stella M.
Mansilla, Francisco
Kevorkian, Rubén
Zylbersztejn, Horacio M.
Gagliardi, Juan A.

Fuente

Revista Argentina de Cardiología; Vol 84, No 3 (2016); 228-235
Argentine Journal of Cardiology; Vol 84, No 3 (2016); 228-235

Editor

Sociedad Argentina de Cardiología

Fecha

2016-06-28

Derechos

Los que firman al pié, certificamos que tenemos total responsabilidad por la conducción de este estudio y por el diseño y la interpretación de los datos. Nosotros escribimos el manuscrito y somos responsables por la decisión acerca del mismo. Cada uno de nosotros cumple la definición de autor como se afirma en el Comité Internacional de Editores de Revistas Médicas (International Committee of Medical Journal Editors, ver www.icmje.org). Nosotros hemos visto y aprobado el manuscrito final. Ni el artículo, ni ninguna parte esencial del mismo, incluido las tablas y las figuras, será publicado o admitido para arbitrar a otra parte antes de aparecer en la Revista.También notificamos haber leído la sección “conflicto de intereses”, y revelaríamos cualquiera que existiera. Dejamos constancia que si nuestro artículo se publicara en la RAC, cederíamos los derechos (copyright) a la Revista.Los documentos publicados en esta revista están bajo la licencia Creative Commons Atribución-NoComercial-Compartir-Igual 2.5 Argentina.
Those signing below certify that we have full responsibility for the conduction of this study and for the design and interpretation of the information. We wrote the manuscript and are responsible for its decision. Each of us fulfills the definition of authorship as stated by the International Committee of Medical Journal Editors ( www.icmje.org). We have signed and approved the final manuscript. Neither the manuscript, nor any essential part thereof, including tables and figures, will be published or accepted for refereeing elsewhere before being published in the Journal. We have also read the "Conflict of Interest" section and would disclose any existing. We state that if our manuscript is published in the RAC, we shall transfer the copyright to the Journal.

Formato

Idioma

eng
spa

Tipo

info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion