Evidence map›Paper›PMID 36873766›Full record

ArticleJACC. Asia2023

Prognosis in Patients With Cardiogenic Shock Who Received Temporary Mechanical Circulatory Support.

Toru Kondo, Takashi Araki, Takahiro Imaizumi, Yoko Sumita, Michikazu Nakai, Akihito Tanaka, Takahiro Okumura, Jawad H Butt, Mark C Petrie, John J V McMurray and 1 more

Open access · goldAbstract read
In one paragraph

Article in JACC. Asia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

18 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Mechanical Circulatory Support as a Bridge to Transcatheter Aortic Valve Replacement in Cardiogenic Shock.Journal of the Society for Cardiovascular Angiography & Interventions · 2025
    Article
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  9. Review
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  12. Observational
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  16. Review
  17. JACC. Asia · 2023
    Article
  18. Article
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

11 authors at 5 institutions in 3 countries.

Toru KondoDepartment of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Takashi ArakiDepartment of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Takahiro ImaizumiDepartment of Nephrology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Yoko SumitaDepartment of Medical and Health Information Management, National Cerebral and Cardiovascular Center, Suita, Japan.
Michikazu NakaiDepartment of Medical and Health Information Management, National Cerebral and Cardiovascular Center, Suita, Japan.
Akihito TanakaDepartment of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Takahiro OkumuraDepartment of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Jawad H ButtBritish Heart Foundation Cardiovascular Research Centre, University of Glasgow, Glasgow, United Kingdom.
Mark C PetrieBritish Heart Foundation Cardiovascular Research Centre, University of Glasgow, Glasgow, United Kingdom.
John J V McMurrayBritish Heart Foundation Cardiovascular Research Centre, University of Glasgow, Glasgow, United Kingdom.
Toyoaki MuroharaDepartment of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Nagoya University · JPBritish Heart Foundation · GBNational Cerebral and Cardiovascular Center · JPCopenhagen University Hospital · DKNagoya University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Temporary mechanical circulatory support (MCS) is often used in patients with cardiogenic shock (CS), and the type of MCS may vary by cause of CS. Objectives: This study sought to describe the causes of CS in patients receiving temporary MCS, the types of MCS used, and associated mortality. Methods: This study used a nationwide Japanese database to identify patients receiving temporary MCS for CS between April 1, 2012, and March 31, 2020. Results: Of 65,837 patients, the cause of CS was acute myocardial infarction (AMI) in 77.4%, heart failure (HF) in 10.9%, valvular disease in 2.7%, fulminant myocarditis (FM) in 2.5%, arrhythmia in 4.5%, and pulmonary embolism (PE) in 2.0% of cases. The most commonly used MCS was an intra-aortic balloon pump alone in AMI (79.2%) and in HF (79.0%) and in valvular disease (66.0%), extracorporeal membrane oxygenation with intra-aortic balloon pump in FM (56.2%) and arrhythmia (43.3%), and extracorporeal membrane oxygenation alone in PE (71.5%). Overall in-hospital mortality was 32.4%; 30.0% in AMI, 32.6% in HF, 33.1% in valvular disease, 34.2% in FM, 60.9% in arrhythmia, and 59.2% in PE. Overall in-hospital mortality increased from 30.4% in 2012 to 34.1% in 2019. After adjustment, valvular disease, FM, and PE had lower in-hospital mortality than AMI: valvular disease, OR: 0.56 (95% CI: 0.50-0.64); FM: OR: 0.58 (95% CI: 0.52-0.66); PE: OR: 0.49 (95% CI: 0.43-0.56); whereas HF had similar in-hospital mortality (OR: 0.99; 95% CI: 0.92-1.05) and arrhythmia had higher in-hospital mortality (OR: 1.14; 95% CI: 1.04-1.26). Conclusions: In a Japanese national registry of patients with CS, different causes of CS were associated with different types of MCS and differences in survival.

Indexed as

AMI, acute myocardial infarctioncardiogenic shockCS, cardiogenic shockECMO, extracorporeal membrane oxygenationextracorporeal membrane oxygenationFM, fulminant myocarditisHF, heart failureIABP, intra-aortic balloon pumpICD-10, International Classification of Diseases-10th Revisionintra-aortic balloon pumpMCS, mechanical circulatory supportmechanical circulatory supportOR, odds ratioPE, pulmonary embolismpercutaneous ventricular assist devicepVAD, percutaneous ventricular assist device

Identifiers

PMID36873766
PMCPMC9982290
OpenAlexW4307901267

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.