Experts’ recommendations for the management of adult patients with cardiogenic shock

Optimal management of cardiogenic shock (CS) requires organization including a structured, multidisciplinary shock team and regional referral network, applying standardized protocols for diagnosis and staging

Early etiological treatment (e.g. culprit-lesion revascularization or urgent valve intervention) is central to improve outcomes

Hemodynamic support should prioritize norepinephrine as first-line vasopressor and privilege selective inotrope use

Temporary mechanical circulatory support (Impella, VA-ECMO) should be reserved for carefully selected patients following discussion by the expert team