Evidence map›Paper›PMID 39254735›Full record

ReviewIntensive care medicine2024

Management of cardiogenic shock: state-of-the-art.

Christian Jung, Raphael Romano Bruno, Marwan Jumean, Susanna Price, Konstantin A Krychtiuk, Kollengode Ramanathan, Josef Dankiewicz, John French, Clement Delmas, Alexandra-Arias Mendoza and 2 more

Abstract readReview
In one paragraph

Review in Intensive care medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
–field-weighted citation impact
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

36 citing papers in PubMed.

  1. Prognostic impact of body mass index in acute myocardial infarction complicated by cardiogenic Shock: an ECLS-SHOCK subanalysis.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Trial
  2. Article
  3. Kidney Failure in Cardiogenic Shock.Circulation. Heart failure · 2026
    Review
  4. Article
  5. Hidden effects of dobutamine on cardiac output.Intensive care medicine experimental · 2026
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Review
  19. Review
  20. CytoSorbBiomedicines · 2025
    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

12 authors.

Christian JungDepartment of Cardiology, Pulmonology and Vascular Medicine, Heinrich-Heine-University Duesseldorf, Medical Faculty, Duesseldorf, Germany. Christian.jung@med.uni-duesseldorf.de.ORCID 0000-0001-8325-250X
Raphael Romano BrunoDepartment of Cardiology, Pulmonology and Vascular Medicine, Heinrich-Heine-University Duesseldorf, Medical Faculty, Duesseldorf, Germany.
Marwan JumeanUTHealth McGovern Medical School, Houston, TX, USA.
Susanna PriceDivision of Heart, Lung and Critical Care, Royal Brompton Hospital, London, UK.
Konstantin A KrychtiukDepartment of Internal Medicine II, Division of Cardiology, Medical University of Vienna, Vienna, Austria.
Kollengode RamanathanYong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore, Singapore.
Josef DankiewiczDepartment of Clinical Sciences Lund, Lund University, Cardiology, Lund, Sweden.
John FrenchDepartment of Cardiology, Liverpool Hospital, Sydney, Australia.
Clement DelmasIntensive Cardiac Care Unit, Cardiology Department, Toulouse University Hospital, Institute of Metabolic and Cardiovascular Diseases (I2MC), UMR-1048, National Institute of Health and Medical Research (INSERM), Toulouse, France.
Alexandra-Arias MendozaCoronary Care Unit, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico.
Holger ThieleDepartment of Internal Medicine/Cardiology and Leipzig Heart Science, Heart Center Leipzig at University of Leipzig, Leipzig, Germany.
Sabri SoussiDepartment of Anesthesia and Pain Management, University Health Network (UHN), Women's College Hospital, University of Toronto, Toronto Western Hospital, Toronto, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The management of cardiogenic shock is an ongoing challenge. Despite all efforts and tremendous use of resources, mortality remains high. Whilst reversing the underlying cause, restoring/maintaining organ perfusion and function are cornerstones of management. The presence of comorbidities and preexisting organ dysfunction increases management complexity, aiming to integrate the needs of vital organs in each individual patient. This review provides a comprehensive overview of contemporary literature regarding the definition and classification of cardiogenic shock, its pathophysiology, diagnosis, laboratory evaluation, and monitoring. Further, we distill the latest evidence in pharmacologic therapy and the use of mechanical circulatory support including recently published randomized-controlled trials as well as future directions of research, integrating this within an international group of authors to provide a global perspective. Finally, we explore the need for individualization, especially in the face of neutral randomized trials which may be related to a dilution of a potential benefit of an intervention (i.e., average effect) in this heterogeneous clinical syndrome, including the use of novel biomarkers, artificial intelligence, and machine learning approaches to identify specific endotypes of cardiogenic shock (i.e., subclasses with distinct underlying biological/molecular mechanisms) to support a more personalized medicine beyond the syndromic approach of cardiogenic shock.

Indexed as

Shock, CardiogenicBiomarkersHumansBiomarkersAssist deviceCardiogenic shockHeart failureIntensive careMyocardial infarctionOutcome

Identifiers

PMID39254735
PMCPMC11541372

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.