{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T20:58:49Z","timestamp":1793307529727,"version":"4.5.0"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Cardiogenic shock (CS) represents an ominous complication of acute myocardial infarction (AMI) with a mortality rate exceeding 50%. The aim of the study was to evaluate current management, outcomes, and risk factors of mortality of AMI-related CS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This snapshot registry evaluated all patients with AMI-related CS hospitalized in 9 cardiology centres across Poland between January and December 2023. The inclusion criteria involved CS defined as prolonged (&amp;gt;20\u2005min) hypotension with signs of peripheral hypoperfusion and a diagnosis of AMI qualified for urgent coronary angiography. The primary endpoint was in-hospital mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study comprised 141 patients (72.3% men; mean age was 69.2 [14] years). The majority of patients were in Society for Cardiovascular Angiography and Interventions class C (n = 71, 50.4%), followed by class D (n = 46, 32.6%) and class E (n = 24, 17.0%). Percutaneous coronary intervention was performed in 133 cases (94.3%) while coronary artery bypass graft in 5 (3.5%). Mechanical circulatory support (MCS) was used in 33 patients (23.4%) and involved intra-aortic balloon pump (n = 26, 18.4%), Impella CP (n = 6, 4.3%), Impella 5.5 (n = 2, 1.4%), and veno-arterial extracorporeal membrane oxygenation (n = 10, 7.1%). In-hospital mortality rate was 47.5% (n = 67), while 30-day mortality was 51.8% (n = 73). Cox proportional hazards model showed that non-ST-elevation AMI (HR = 2.38, 95%CI: 1.19\u20134.75), lack of the need for antibiotic therapy (HR = 2.61, 95%CI: 1.26\u20135.39), elevated lactates (unit HR per 1\u2005mmol\/l = 1.19, 95%CI: 1.11\u20131.27) and age (unit HR = 1.05; 95%CI: 1.02\u20131.07) were independent predictors of in-hospital mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Short-term mortality rate of AMI-related CS still amounts to 50%, which advocates in favour of further research evaluating the true role of MCS in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eschf\/xvag066","type":"journal-article","created":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T12:45:39Z","timestamp":1772023539000},"source":"Crossref","is-referenced-by-count":1,"title":["Cardiogenic shock in the course of myocardial infarction: the results of the Shock-POL registry"],"prefix":"10.1093","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1151-8385","authenticated-orcid":false,"given":"Maciej T","family":"Wybraniec","sequence":"first","affiliation":[{"name":"First Department of Cardiology, School of Medicine in Katowice, Medical University of Silesia , 47 Zio\u0142owa St., Katowice 40-635 ,","place":["Poland"]},{"name":"Intensive Cardiac Care Unit, Upper-Silesian Medical Center , 47 Zio\u0142owa St., Katowice 40-635 ,","place":["Poland"]},{"name":"European Reference Network on Heart Diseases-ERN GUARD-HEART , Meibergdreef 9, 1105 AZ Amsterdam ,","place":["The Netherlands"]},{"name":"Club 30 of Polish Cardiac Society"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Artur","family":"Sufryd","sequence":"additional","affiliation":[{"name":"Department of Cardiology in Cieszyn, Upper-Silesian Medical Center , Cieszyn ,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ma\u0142gorzata","family":"Cicho\u0144","sequence":"additional","affiliation":[{"name":"Intensive Cardiac Care Unit, Upper-Silesian Medical Center , 47 Zio\u0142owa St., Katowice 40-635 ,","place":["Poland"]},{"name":"Club 30 of Polish Cardiac Society"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomasz","family":"Tokarek","sequence":"additional","affiliation":[{"name":"2nd Department of Cardiology with Angiology Subunit, Center for Invasive Cardiology, Electrotherapy and Angiology , Nowy Sacz ,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominika","family":"Dykla","sequence":"additional","affiliation":[{"name":"2nd Department of Cardiology with Angiology Subunit, Center for Invasive Cardiology, Electrotherapy and Angiology , Nowy Sacz ,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aleksander","family":"Zelia\u015b","sequence":"additional","affiliation":[{"name":"2nd Department of Cardiology with Angiology Subunit, Center for Invasive Cardiology, Electrotherapy and Angiology , Nowy Sacz ,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6895-4076","authenticated-orcid":false,"given":"Katarzyna","family":"Holcman","sequence":"additional","affiliation":[{"name":"Club 30 of Polish Cardiac Society"},{"name":"Department of Cardiac and Vascular Diseases, Institute of Cardiology, Jagiellonian University Medical College, St. John Paul II Hospital , Krak\u00f3w ,","place":["Poland"]},{"name":"Department of Nuclear Medicine, St. John Paul II Hospital , Krak\u00f3w 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Diseases, University Hospital , Wroc\u0142aw ,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Micha\u0142","family":"Tkaczyszyn","sequence":"additional","affiliation":[{"name":"Club 30 of Polish Cardiac Society"},{"name":"Faculty of Medicine, Institute of Heart Diseases, Wroclaw Medical University , Wroc\u0142aw ,","place":["Poland"]},{"name":"Department of Heart Diseases, University Hospital , Wroc\u0142aw ,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wiktor","family":"Kuliczkowski","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Institute of Heart Diseases, Wroclaw Medical University , Wroc\u0142aw ,","place":["Poland"]},{"name":"Department of Heart Diseases, University Hospital , Wroc\u0142aw ,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pawe\u0142","family":"G\u0105sior","sequence":"additional","affiliation":[{"name":"Club 30 of Polish Cardiac 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,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Janas","sequence":"additional","affiliation":[{"name":"Club 30 of Polish Cardiac Society"},{"name":"Center for Cardiovascular Research and Development, American Heart of Poland , Katowice ,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6907-2799","authenticated-orcid":false,"given":"Katarzyna","family":"Mizia-Stec","sequence":"additional","affiliation":[{"name":"First Department of Cardiology, School of Medicine in Katowice, Medical University of Silesia , 47 Zio\u0142owa St., Katowice 40-635 ,","place":["Poland"]},{"name":"European Reference Network on Heart Diseases-ERN GUARD-HEART , Meibergdreef 9, 1105 AZ Amsterdam ,","place":["The Netherlands"]},{"name":"Club 30 of Polish Cardiac Society"},{"name":"First Department of Cardiology, Upper-Silesian Medical Center , Katowice 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