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Criteria for the diagnosis of cardiogenic shock-European perspective: A Clinical Consensus Statement of the Association for Acute CardioVascular Care, the Heart Failure Association, and the European Association of Percutaneous Cardiovascular Interventions of the ESC

  • Hoong Sern Lim
  • , Agnieszka Tycinska
  • , Clement Delmas
  • , Jacob Eifer Moller
  • , Janine Pöss
  • , Christian Stoppe
  • , Christophe Vandenbriele
  • , Holger Thiele
  • , Kurt Huber
  • , Ingo Ahrens
  • , Christian Hassager
  • , Ovidiu Chioncel
  • , Marco Metra
  • , Matteo Pagnesi
  • , Wiktor Kuliczkowski
  • , Maja Cikes
  • , Linda W van Laake
  • , Alessandro Sionis
  • , Mario Iannaccone
  • , Stephane Manzo-Silberman
  • Federico Pappalardo, Susanna Price, Thomas F Lüscher, Benedikt Schrage*
*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

Cardiogenic shock is a complex clinical syndrome with a high mortality risk. As heterogeneity of patient presentation is high and diagnosis not standardized, a timely diagnosis and thus initiation of treatment are oftentimes not achieved, further worsening the prognosis of affected patients. We therefore propose standardized criteria for the diagnosis of cardiogenic shock, based on three essential pillars: (i) an evidence of end-organ hypoperfusion at rest, (ii) which is primarily caused by haemodynamic abnormalities and a direct consequence of (iii) an underlying cardiac dysfunction commensurate with the state of shock.

Original languageEnglish
Pages (from-to)634-648
Number of pages15
JournalEuropean heart journal. Acute cardiovascular care
Volume15
Issue number8
DOIs
Publication statusPublished - Aug 2026

Keywords

  • Humans
  • Shock, Cardiogenic/diagnosis
  • Europe
  • Societies, Medical
  • Prognosis

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