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Its complexity and high in-hospital mortality may justify the need for invasive monitoring with a pulmonary artery catheter (PAC). <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> Patients with CS included in the CardShock Study, an observational, prospective, multicenter, European registry, were analyzed, aiming to describe the real-world use of PAC, evaluate its impact on 30-day mortality, and the ability of different hemodynamic parameters to predict outcomes. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> Pulmonary artery catheter was used in 82 (37.4%) of the 219 patients. Cardiogenic shock patients who managed with a PAC received more frequently treatment with inotropes and vasopressors, mechanical ventilation, renal replacement therapy, and mechanical assist devices ( P &lt; .01). Overall 30-day mortality was 36.5%. Pulmonary artery catheter use did not affect mortality even after propensity score matching analysis (hazard ratio = 1.17 [0.59-2.32], P = .66). Cardiac index, cardiac power index (CPI), and stroke volume index (SVI) showed the highest areas under the curve for 30-day mortality (ranging from 0.752-0.803) and allowed for a significant net reclassification improvement of 0.467 (0.083-1.180), 0.700 (0.185-1.282), 0.683 (0.168-1.141), respectively, when added to the CardShock risk score. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p> In our contemporary cohort of CS, over one-third of patients were managed with a PAC. Pulmonary artery catheter use was associated with a more aggressive treatment strategy. Nevertheless, PAC use was not associated with 30-day mortality. Cardiac index, CPI, and SVI were the strongest 30-day mortality predictors on top of the previously validated CardShock risk score. <\/jats:p><\/jats:sec>","DOI":"10.1177\/0885066619828959","type":"journal-article","created":{"date-parts":[[2019,2,8]],"date-time":"2019-02-08T04:51:18Z","timestamp":1549601478000},"page":"1426-1433","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":53,"title":["Current Use and Impact on 30-Day Mortality of Pulmonary Artery Catheter in Cardiogenic Shock Patients: Results From the CardShock Study"],"prefix":"10.1177","volume":"35","author":[{"given":"Alessandro","family":"Sionis","sequence":"first","affiliation":[{"name":"Cardiology Department, Intensive Cardiac Care Unit, Hospital de la Santa Creu i Sant Pau, IIB-SantPau, CIBER-CV, Universidad Aut\u00f2noma de Barcelona, Barcelona, 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Finland"}]},{"given":"Jordi","family":"Sans-Rosell\u00f3","sequence":"additional","affiliation":[{"name":"Cardiology Department, Intensive Cardiac Care Unit, Hospital de la Santa Creu i Sant Pau, IIB-SantPau, CIBER-CV, Universidad Aut\u00f2noma de Barcelona, Barcelona, Spain"}]},{"given":"Heli","family":"Tolppanen","sequence":"additional","affiliation":[{"name":"Heart and Lung Center, Helsinki University and Helsinki University Hospital, Helsinki, Finland"},{"name":"Heart Center, P\u00e4ij\u00e4t-H\u00e4me Central Hospital, Lahti, Finland"}]},{"given":"Marjut","family":"Varpula","sequence":"additional","affiliation":[{"name":"Heart and Lung Center, Helsinki University and Helsinki University Hospital, Helsinki, Finland"}]},{"given":"Raija","family":"Jurkko","sequence":"additional","affiliation":[{"name":"Heart and Lung Center, Helsinki University and Helsinki University Hospital, Helsinki, Finland"}]},{"given":"Marek","family":"Banaszewski","sequence":"additional","affiliation":[{"name":"Institute of Cardiology, Intensive Cardiac Therapy Clinic, Warsaw, Poland"}]},{"given":"Jose","family":"Silva-Cardoso","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Faculty of Medicine, CINTESIS\u2014Center for Health Technology and Services Research, University of Porto, S\u00e3o Jo\u00e3o Medical Center, Porto, Portugal"}]},{"given":"Valentina","family":"Carubelli","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University and Civil Hospital of Brescia, Brescia, Italy"}]},{"given":"Matias Greve","family":"Lindholm","sequence":"additional","affiliation":[{"name":"Division of Heart Failure, Pulmonary Hypertension and Heart Transplantation, Rigshospitalet, Copenhagen University Hospital, Copenhagen, 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