Prognostic implication of venoarterial extracorporeal membrane oxygenation in acute myocardial infarction-related cardiogenic shock
Main finding · In-hospital mortalityResult — go to the resultOdds ratio 0.46 95% CI 0.29–0.75Authors' conclusion
In this single-center study, AMI-CS was associated with a lower in-hospital mortality than non-AMI-CS after VA-ECMO treatment.
Study context
- Population
- Patients with cardiogenic shock (CS) treated with peripheral venoarterial extracorporeal membrane oxygenation (VA-ECMO) at a tertiary cardiovascular center, 2008–2023
- Participants
- 667 patients
- Exposure
- AMI-CS vs non-AMI-CS in patients treated with peripheral VA-ECMO
- Outcome
- In-hospital mortality
Methodological detailssingle-centre, tertiary cardiovascular center, logistic regression, propensity score matching analysis
- Single-centre
- Tertiary cardiovascular center
- Logistic regression
- Propensity score matching analysis
Main finding
As reported in the abstract
Odds ratio
0.46
95% CI 0.29–0.75
P = 0.002
By group
AMI-CS vs non-AMI-CS
OR 0.46 (95% CI 0.29–0.75); P = 0.002
Observational data: associations, not effects.
Further findings
Cardiac arrest before VA-ECMO initiation
P < 0.001
Independent predictors of favorable outcomes after VA-ECMO
- Younger age, shorter cardiac arrest duration, absence of severe left ventricular (LV) dysfunction, absence of RRT, higher hemoglobin, higher arterial pH, lower lactate
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Prognostic implication of venoarterial extracorporeal membrane oxygenation in acute myocardial infarction-related cardiogenic shock. J Intensive Care. Published 2 July 2025. doi:10.
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