Cardiogenic Shock Clinical Presentation, Management, and In-Hospital Outcomes in Patients Admitted to the Acute Cardiac Care Unit of a Tertiary Hospital: Does Gender Play a Role?
Cardiogenic shock (CS), as the most severe form of heart failure, is associated with very high mortality rates despite therapeutic advances in the last decades. Gender differences in outcomes have been widely reported regarding several cardiovascular diseases. The aim of our study was to evaluate po...
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doaj-f0d21eb494034fb090e7ecfdf6028aa92020-11-25T03:53:18ZengMDPI AGJournal of Clinical Medicine2077-03832020-09-0193117311710.3390/jcm9103117Cardiogenic Shock Clinical Presentation, Management, and In-Hospital Outcomes in Patients Admitted to the Acute Cardiac Care Unit of a Tertiary Hospital: Does Gender Play a Role?Adrian Jerónimo0Marcos Ferrández-Escarabajal1Carlos Ferrera2Francisco J. Noriega3Jesús Diz-Díaz4Rodrigo Fernández-Jiménez5Angela McInerney6Antonio Fernández-Ortiz7Ana Viana-Tejedor8Acute Cardiac Care Unit, Hospital Clínico San Carlos, 28040 Madrid, SpainAcute Cardiac Care Unit, Hospital Clínico San Carlos, 28040 Madrid, SpainAcute Cardiac Care Unit, Hospital Clínico San Carlos, 28040 Madrid, SpainAcute Cardiac Care Unit, Hospital Clínico San Carlos, 28040 Madrid, SpainAcute Cardiac Care Unit, Hospital Clínico San Carlos, 28040 Madrid, SpainAcute Cardiac Care Unit, Hospital Clínico San Carlos, 28040 Madrid, SpainAcute Cardiac Care Unit, Hospital Clínico San Carlos, 28040 Madrid, SpainAcute Cardiac Care Unit, Hospital Clínico San Carlos, 28040 Madrid, SpainAcute Cardiac Care Unit, Hospital Clínico San Carlos, 28040 Madrid, SpainCardiogenic shock (CS), as the most severe form of heart failure, is associated with very high mortality rates despite therapeutic advances in the last decades. Gender differences in outcomes have been widely reported regarding several cardiovascular diseases. The aim of our study was to evaluate potential gender disparities in clinical presentation, management, and in-hospital outcomes of all (<i>n</i> = 138) patients admitted to the Acute Cardiac Care Unit of a tertiary hospital from 2013 to 2019. Information on demographic characteristics, past medical history, haemodynamic and clinical status at admission, therapeutic management, and in-hospital outcomes was retrospectively collected. Women represented 31.88% of the cohort, were significantly older than the men and had a lower proportion of smokers, chronic obstructive pulmonary disease, and previous acute myocardial infarction (AMI). Most CSs in both groups were AMI-related. Left ventricular ejection fraction at admission was higher in women, who were less likely to receive vasopressors. No differences were observed regarding mechanical circulatory support use and in-patient outcomes, with age being the only factor associated with in-hospital mortality on multivariate analysis.https://www.mdpi.com/2077-0383/9/10/3117cardiogenic shockmyocardial infarctiongender |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Adrian Jerónimo Marcos Ferrández-Escarabajal Carlos Ferrera Francisco J. Noriega Jesús Diz-Díaz Rodrigo Fernández-Jiménez Angela McInerney Antonio Fernández-Ortiz Ana Viana-Tejedor |
spellingShingle |
Adrian Jerónimo Marcos Ferrández-Escarabajal Carlos Ferrera Francisco J. Noriega Jesús Diz-Díaz Rodrigo Fernández-Jiménez Angela McInerney Antonio Fernández-Ortiz Ana Viana-Tejedor Cardiogenic Shock Clinical Presentation, Management, and In-Hospital Outcomes in Patients Admitted to the Acute Cardiac Care Unit of a Tertiary Hospital: Does Gender Play a Role? Journal of Clinical Medicine cardiogenic shock myocardial infarction gender |
author_facet |
Adrian Jerónimo Marcos Ferrández-Escarabajal Carlos Ferrera Francisco J. Noriega Jesús Diz-Díaz Rodrigo Fernández-Jiménez Angela McInerney Antonio Fernández-Ortiz Ana Viana-Tejedor |
author_sort |
Adrian Jerónimo |
title |
Cardiogenic Shock Clinical Presentation, Management, and In-Hospital Outcomes in Patients Admitted to the Acute Cardiac Care Unit of a Tertiary Hospital: Does Gender Play a Role? |
title_short |
Cardiogenic Shock Clinical Presentation, Management, and In-Hospital Outcomes in Patients Admitted to the Acute Cardiac Care Unit of a Tertiary Hospital: Does Gender Play a Role? |
title_full |
Cardiogenic Shock Clinical Presentation, Management, and In-Hospital Outcomes in Patients Admitted to the Acute Cardiac Care Unit of a Tertiary Hospital: Does Gender Play a Role? |
title_fullStr |
Cardiogenic Shock Clinical Presentation, Management, and In-Hospital Outcomes in Patients Admitted to the Acute Cardiac Care Unit of a Tertiary Hospital: Does Gender Play a Role? |
title_full_unstemmed |
Cardiogenic Shock Clinical Presentation, Management, and In-Hospital Outcomes in Patients Admitted to the Acute Cardiac Care Unit of a Tertiary Hospital: Does Gender Play a Role? |
title_sort |
cardiogenic shock clinical presentation, management, and in-hospital outcomes in patients admitted to the acute cardiac care unit of a tertiary hospital: does gender play a role? |
publisher |
MDPI AG |
series |
Journal of Clinical Medicine |
issn |
2077-0383 |
publishDate |
2020-09-01 |
description |
Cardiogenic shock (CS), as the most severe form of heart failure, is associated with very high mortality rates despite therapeutic advances in the last decades. Gender differences in outcomes have been widely reported regarding several cardiovascular diseases. The aim of our study was to evaluate potential gender disparities in clinical presentation, management, and in-hospital outcomes of all (<i>n</i> = 138) patients admitted to the Acute Cardiac Care Unit of a tertiary hospital from 2013 to 2019. Information on demographic characteristics, past medical history, haemodynamic and clinical status at admission, therapeutic management, and in-hospital outcomes was retrospectively collected. Women represented 31.88% of the cohort, were significantly older than the men and had a lower proportion of smokers, chronic obstructive pulmonary disease, and previous acute myocardial infarction (AMI). Most CSs in both groups were AMI-related. Left ventricular ejection fraction at admission was higher in women, who were less likely to receive vasopressors. No differences were observed regarding mechanical circulatory support use and in-patient outcomes, with age being the only factor associated with in-hospital mortality on multivariate analysis. |
topic |
cardiogenic shock myocardial infarction gender |
url |
https://www.mdpi.com/2077-0383/9/10/3117 |
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