Cardiac arrest & resuscitation

Understanding patients with mechanical circulatory support for cardiogenic shock: The role of preceding cardiac arrest

ResuscitationPublished Retrospective registry cohort study

Authors' conclusion

Although 30-day mortality rates were comparable, determinants of mortality differed between OHCA and non-OHCA patients.

Study context

Population
AMICS patients who underwent PCI and received mechanical circulatory support (MCS), Netherlands Heart Registration PCI Registry, 2017–2021
Participants
241 patients · 9 hospitals
Exposure
Out-of-hospital cardiac arrest (OHCA) vs non-OHCA
  • OHCAn = 119
Outcome
30-day mortality
Follow-up
30 days
Methodological detailsmulticentre registry, nine hospitals
  • Multicentre registry
  • Nine hospitals

Main finding

As reported in the abstract

P = 0.869

Observational data: associations, not effects.

Further findings

Independent predictors of 30-day mortality, overall cohort

Age, lactate, intubation and multivessel disease independently associated with 30-day mortality
  • Multivariable logistic regression

Predictors of 30-day mortality, OHCA (subgroup)

Age and lactate lost predictive value; resuscitation >30 min, initial non-shockable rhythm and multivessel disease strongly associated with mortality

Predictors of 30-day mortality, non-OHCA (subgroup)

Age, lactate and IHCA predictive; multivessel disease not associated with 30-day mortality

Patient profile

OHCA patients had better pre-existing condition, more acute presentation and less frequent multivessel disease

Original publication

Understanding patients with mechanical circulatory support for cardiogenic shock: The role of preceding cardiac arrest. Resuscitation. Published 25 May 2026. doi:10.1016/j.resuscitation.2026.111149

Composed by AI from the published abstract and checked against it. How Briefs are made →

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