Evidence map›Paper›PMID 32245139›Full record

ArticleJournal of clinical medicine2020

Outcomes Associated with Respiratory Failure for Patients with Cardiogenic Shock and Acute Myocardial Infarction: A Substudy of the CULPRIT-SHOCK Trial.

Maria Rubini Giménez, P Elliott Miller, Carlos L Alviar, Sean van Diepen, Christopher B Granger, Gilles Montalescot, Stephan Windecker, Lars Maier, Pranas Serpytis, Rokas Serpytis and 11 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
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  4. Efficacy of Non-invasive Ventilation Compared with Invasive Mechanical Ventilation in Cardiogenic Shock: A Systematic Review and Meta-analysis.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026
    Article
  5. Article
  6. Respiratory Support and Mortality Risk Across the Spectrum of Cardiogenic Shock Severity.Journal of the Society for Cardiovascular Angiography & Interventions · 2025
    Article
  7. Article
  8. Ventilation strategies in cardiogenic shock: insights from the FRENSHOCK observational registry.Clinical research in cardiology : official journal of the German Cardiac Society · 2025
    Observational
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  14. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 14 institutions in 9 countries.

Maria Rubini GiménezDepartment of Internal Medicine/Cardiology, Heart Center Leipzig at University of Leipzig and Leipzig Heart Institute, 04289 Leipzig, Germany.
P Elliott MillerDivision of Cardiovascular Medicine, Yale University School of Medicine, New Haven, CT 06520-8017, USA.
Carlos L AlviarThe Leon H. Charney Division of Cardiology, New York University School of Medicine, New York, NY 10016, USA.
Sean van DiepenDepartment of Critical Care Medicine and Division of Cardiology, Department of Medicine, University of Alberta, Edmonton, AB 8440, Canada.
Christopher B GrangerCardiology Department, Duke Clinical Research Institute, Durham, NC 27701, USA.
Gilles MontalescotDepartment of Cardiology, Institut de Cardiologie (AP-HP), Hôpital Pitié Salpêtrière, Sorbonne Université, ACTION study group, 75013 Paris, France.
Stephan WindeckerDepartment of Cardiology, Inselspital, Bern University Hospital, University of Bern, 3010 Bern, Switzerland.
Lars MaierDepartment of Cardiology, University Hospital Regensburg, 93077 Regensburg, Germany.
Pranas SerpytisFaculty of Medicine, Vilnius University and Vilnius University Hospital Santaros Klinikos, 08410 Vilnius, Lithuania.
Rokas SerpytisFaculty of Medicine, Vilnius University and Vilnius University Hospital Santaros Klinikos, 08410 Vilnius, Lithuania.
Keith G OldroydDepartment of Cardiology, Golden Jubilee National Hospital, Glasgow G81 4DY, UK.
Marko NocCardiology Department, University Medical Center Ljubljana, 1000 Ljubljana, Slovenia.
Georg FuernauCardiology Department, University Heart Center Luebeck, 23538 Luebeck, Germany.ORCID 0000-0002-3813-8772
Kurt Huber3rd Department of Internal Medicine, Cardiology and Intensive Care Medicine, Wilhelminenhospital and Sigmund Freud University, Medical School, 2301 Vienna, Austria.
Marcus SandriDepartment of Internal Medicine/Cardiology, Heart Center Leipzig at University of Leipzig and Leipzig Heart Institute, 04289 Leipzig, Germany.
Suzanne de Waha-ThieleCardiology Department, University Heart Center Luebeck, 23538 Luebeck, Germany.
Steffen SchneiderStatistical department, Institut für Herzinfarktforschung, 67063 Ludwigshafen, Germany.ORCID 0000-0003-3256-0726
Taoufik OuarrakStatistical department, Institut für Herzinfarktforschung, 67063 Ludwigshafen, Germany.
Uwe ZeymerHospital of the city of Ludwigshafen, Medical Clinic B and Institut für Herzinfarktforschung, 67063 Ludwigshafen, Germany.
Steffen DeschDepartment of Internal Medicine/Cardiology, Heart Center Leipzig at University of Leipzig and Leipzig Heart Institute, 04289 Leipzig, Germany.
Holger ThieleDepartment of Internal Medicine/Cardiology, Heart Center Leipzig at University of Leipzig and Leipzig Heart Institute, 04289 Leipzig, Germany.
Leipzig Heart Institute · DEStiftung Institut für Herzinfarktforschung · DEVilnius University · LTClinical Research Institute · USGolden Jubilee National Hospital · GBLjubljana University Medical Centre · SINew York University · USSigmund Freud Privatuniversität Wien · ATSorbonne Université · FRUniversity Hospital of Basel · CHUniversity Hospital Regensburg · DEUniversity of Alberta · CAUniversity of Bern · CHYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung P400PM_180828
6 · The paper itself

Abstract

backgroundLittle is known about clinical outcomes of patients with acute myocardial infraction (AMI) complicated by cardiogenic shock (CS) requiring mechanical ventilation (MV). The aim of this study was to identify the characteristics, risk factors, and outcomes associated with the provision of MV in this specific high-risk population.

methodsPatients with CS complicating AMI and multivessel coronary artery disease from the CULPRIT-SHOCK trial were included. We explored 30 days of clinical outcomes in patients not requiring MV, those with MV on admission, and those in whom MV was initiated within the first day after admission.

resultsAmong 683 randomized patients included in the analysis, 17.4% received no MV, 59.7% were ventilated at admission and 22.8% received MV within or after the first day after admission. Patients requiring MV had a different risk-profile. Factors independently associated with the provision of MV on admission included higher body weight, resuscitation within 24 h before admission, elevated heart rate and evidence of triple vessel disease.

conclusionsRequiring MV in patients with CS complicating AMI is common and independently associated with mortality after adjusting for covariates. Patients with delayed MV initiation appear to be at higher risk of adverse outcomes. Further research is necessary to identify the optimal timing of MV in this high-risk population.

Indexed as

cardiogenic shockmechanical ventilationnon-invasive ventilationrespiratory failure

Identifiers

PMID32245139
PMCPMC7141492
OpenAlexW3010701065

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.