{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T09:49:09Z","timestamp":1792144149462,"version":"4.4.0"},"reference-count":0,"publisher":"Armed Forces Medical Services","issue":"3","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Saudi Medical Journal"],"abstract":"<jats:p>Objective: Cardiogenic shock (CS) remains a serious complication of acute myocardial infarction (AMI) with persistently high mortality and significant variability in management across centers. Methods: A multidisciplinary panel convened by the National Heart Center used the GRADE framework to review evidence and develop consensus recommendations tailored to AMI-related CS. Results: The document emphasizes standardized CS definition and staging, prioritizing the SCAI classification. Key components include early recognition, haemodynamic assessment, lactate monitoring, and the central role of echocardiography. Recommendations support rapid culprit-vessel revascularization, early consideration of mechanical circulatory support, and structured Heart Team activation. The document also highlights the need for protocolized care pathways and CS registries. Conclusion: These consensus recommendations provide a unified approach to AMI-related CS aimed at reducing practice variation and improving clinical outcomes.<\/jats:p>","DOI":"10.15537\/1658-3175.1048","type":"journal-article","created":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T22:14:01Z","timestamp":1773958441000},"page":"513-529","source":"Crossref","is-referenced-by-count":0,"title":["National Heart Center \u2013 Saudi Health Council Acute Myocardial Infarction-Related Cardiogenic Shock Consensus Document"],"prefix":"10.15537","volume":"47","author":[{"given":"Mirvat","family":"Alasnag","sequence":"first","affiliation":[{"name":"Cardiac Center, King Fahd Armed Forces Hospital, Jeddah-Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulrahman","family":"Asiri","sequence":"additional","affiliation":[{"name":"College of Medicine, King Khaled University, Abha-Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hazim","family":"Alrahbi","sequence":"additional","affiliation":[{"name":"King Saud Medical City, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"nHatem","family":"Aloui","sequence":"additional","affiliation":[{"name":"King Saud Medical City, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashraf M","family":"Anwar","sequence":"additional","affiliation":[{"name":"Cardiac Center, King Fahd Armed Forces Hospital, Jeddah-Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saad","family":"Alhassani","sequence":"additional","affiliation":[{"name":"King Abdullah Medical City, Makkah-Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam Mohamed","family":"AlQaseer","sequence":"additional","affiliation":[{"name":"King Fahad Specialist Hospital, Dammam, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ismail Raid","family":"Raslan","sequence":"additional","affiliation":[{"name":"Department of Cardiac Sciences, College of Medicine, King Saud University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim","family":"AlBakri","sequence":"additional","affiliation":[{"name":"Cardiac Center, King Fahd Armed Forces Hospital, Jeddah-Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Almustafa","sequence":"additional","affiliation":[{"name":"King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rowa","family":"Attar","sequence":"additional","affiliation":[{"name":"King Abdulaziz University Hospital, Jeddah-Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faisal","family":"Katbi","sequence":"additional","affiliation":[{"name":"College of Medicine, Imam Abdulrahman bin Faisal University, Dammam-Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feras","family":"Khaleil","sequence":"additional","affiliation":[{"name":"King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyaa","family":"Elhazmi","sequence":"additional","affiliation":[{"name":"College of Medicine, Alfaisal University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adel","family":"Tash","sequence":"additional","affiliation":[{"name":"King Abdullah Medical City, Makkah-Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jehad","family":"Alburaiki","sequence":"additional","affiliation":[{"name":"King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56029","published-online":{"date-parts":[[2026,3,10]]},"container-title":["Saudi Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/smj.researchcommons.org\/cgi\/viewcontent.cgi?article=1048&amp;context=journal","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T09:28:07Z","timestamp":1792142887000},"score":1,"resource":{"primary":{"URL":"https:\/\/smj.researchcommons.org\/journal\/vol47\/iss3\/14"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,10]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,3,10]]}},"URL":"https:\/\/doi.org\/10.15537\/1658-3175.1048","relation":{},"ISSN":["1658-3175"],"issn-type":[{"value":"1658-3175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,10]]}}}