Evidence map›Paper›PMID 40061415›Full record

ArticleJournal of the Society for Cardiovascular Angiography & Interventions2025

The Utility and Validation of SCAI-CSWG Stages in Patients With Acute Myocardial Infarction-Related Cardiogenic Shock.

Rajesh Rajan, Mohammed Al Jarallah, Amin Daoulah, Prashanth Panduranga, Ahmed Elmahrouk, Abeer Said Mohamed Al Rawahi, Said Al Maashani, Hatem M Aloui, Mubarak Abdulhadi Aldossari, Nooraldaem Yousif and 27 more

Abstract read
In one paragraph

Article in Journal of the Society for Cardiovascular Angiography & Interventions, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

37 authors.

Rajesh RajanDepartment of Cardiology, Sabah Al Ahmad Cardiac Center, Al Amiri Hospital, Sharq, Kuwait.
Mohammed Al JarallahDepartment of Cardiology, Sabah Al Ahmad Cardiac Center, Al Amiri Hospital, Sharq, Kuwait.
Amin DaoulahDepartment of Cardiovascular Medicine, King Faisal Specialist Hospital & Research Center, Jeddah, Kingdom of Saudi Arabia.
Prashanth PandurangaDepartment of Cardiothoracic Surgery, Faculty of Medicine, Tanta University, Egypt.
Ahmed ElmahroukDepartment of Cardiovascular Medicine, King Faisal Specialist Hospital & Research Center, Jeddah, Kingdom of Saudi Arabia.
Abeer Said Mohamed Al RawahiDepartment of Cardiology, National Heart Center, Royal Hospital, Muscat, Oman.
Said Al MaashaniDepartment of Cardiology, Salalah Heart Center, Sultan Qaboos Hospital, Salalah, Oman.
Hatem M AlouiHeart Health Center, King Saud Medical City, Riyadh, Kingdom of Saudi Arabia.
Mubarak Abdulhadi AldossariHeart Health Center, King Saud Medical City, Riyadh, Kingdom of Saudi Arabia.
Nooraldaem YousifDepartment of Cardiology, Mohammed Bin Khalifa Specialist Cardiac Center, Awali, Kingdom of Bahrain.
Husam A NoorDepartment of Cardiology, Mohammed Bin Khalifa Specialist Cardiac Center, Awali, Kingdom of Bahrain.
Abdulrahman ArabiDepartment of Cardiology, Hamad Medical Corporation, Doha, Qatar.
Gi Eun KimDepartment of Internal Medicine, Medical Education, Hamad Medical Corporation, Doha, Qatar.
Mohamad SafiehDepartment of Internal Medicine, Medical Education, Hamad Medical Corporation, Doha, Qatar.
Wael AlmahmeedHeart & Vascular Institute, Cleveland Clinic Abu Dhabi, United Arab Emirates.
Hassan KhanHeart & Vascular Institute, Cleveland Clinic Abu Dhabi, United Arab Emirates.
Mohammed A QutubCardiology Center of Excellence, Department of Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
Mohammed AlshehriDepartment of Cardiology, Prince Khaled Bin Sultan Cardiac Center, Khamis Mushait, Kingdom of Saudi Arabia.
Amr A ArafatDepartment of Cardiothoracic Surgery, Faculty of Medicine, Tanta University, Egypt.
Omar KanbrFaculty of Medicine, Elrazi University, Khartoum, Sudan.
Alsayed Ali AlmarghanyDepartment of Cardiology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Adnan Fathey HussienDepartment of Cardiology, International Medical Center, Jeddah, Kingdom of Saudi Arabia.
Amir LotfiDepartment of Cardiovascular Medicine, University of Massachusetts Chan Medical School - Baystate Medical Center, Springfield, Massachusetts.
Mohamed Ajaz GhaniDepartment of Cardiology, Madinah Cardiac Center, Madinah, Kingdom of Saudi Arabia.
Badr AlzahraniDepartment of Cardiology, Prince Sultan Cardiac Center, Riyadh, Kingdom of Saudi Arabia.
Alaa AldossariDepartment of Cardiology, King Salman Heart Center, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia.
Taher HassanDepartment of Cardiology, Bugshan General Hospital, Jeddah, Kingdom of Saudi Arabia.
Abdullah AleneziDepartment of Cardiology, Chest Diseases Hospital, Sabah Medical Area, Shuwaikh, Kuwait.
Waleed AlharbiDepartment of Cardiac Sciences, King Fahad Cardiac Center, King Saud University, Riyadh, Kingdom of Saudi Arabia.
Ahmed JamjoomDepartment of Cardiovascular Medicine, King Faisal Specialist Hospital & Research Center, Jeddah, Kingdom of Saudi Arabia.
Abdulwali AbohasanDepartment of Cardiology, Central Hospital Hafr Albatin, Hafr Albatin, Kingdom of Saudi Arabia.
Raja DashtiDepartment of Cardiology, Sabah Al Ahmad Cardiac Center, Al Amiri Hospital, Sharq, Kuwait.
Peter A BradyDepartment of Cardiology, Illinois Masonic Medical Center, Chicago, Illinois.
Ibrahim Al ZakwaniDepartment of Pharmacology & Clinical Pharmacy, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman.
Maheswara Satya Gangadhara Rao GollaDepartment of Cardiology, Guam Regional Medical City, Dededo, Guam.
Laura Al ObaidDepartment of Cardiology, Sabah Al Ahmad Cardiac Center, Al Amiri Hospital, Sharq, Kuwait.
Abdullah N AlAwadiDepartment of Cardiology, Sabah Al Ahmad Cardiac Center, Al Amiri Hospital, Sharq, Kuwait.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Outcomes of patients with acute myocardial infarction-related cardiogenic shock (AMICS) stratified by the Society for Cardiovascular Angiography & Interventions (SCAI) shock stages in the Gulf region are not well known. Methods: We analyzed data from patients with AMICS presenting to multiple centers across the Gulf region between January 2020 and December 2022. Patients were grouped according to SCAI-Cardiogenic Shock Working Group classification: group 1 (SCAI shock stages B/C) and group 2 (SCAI shock stages D/E). Primary end points were survival at 6, 12, 18, and 24 months. Both univariate and multivariate statistical methods were employed in the analysis. Results: A total of 1513 patients from the Gulf Cardiogenic Shock registry, were included with 31.1% in group 1 and 68.9% in group 2. The median follow-up was 6 months. Survival rates in group 1 were 87%, 72%, 56%, and 48% at 6, 12, 18, and 24 months, respectively, whereas group 2 exhibited survival rates of 66%, 29%, 14%, and 4%, respectively, over the same periods. Survival progressively declined with advancing SCAI shock stages, with stage B having the highest survival rates and stage E the lowest ( Conclusions: This is the first study to validate SCAI-Cardiogenic Shock Working Group stages in a large cohort of patients with AMICS. The SCAI shock staging classification was significantly associated with higher short- and long-term mortality in this cohort, with patients in more advanced stages (D/E) experiencing markedly worse survival outcomes. These findings underscore the utility of SCAI staging in stratifying long-term risk among AMICS patients in the Gulf region. Identification of cardiogenic shock patients at SCAI stages D and E with early hemodynamic monitoring and treating them aggressively with newer mechanical circulatory support in the early stages may improve patient survival.

Indexed as

acute myocardial infarction–related cardiogenic shockGulf Cardiogenic Shock registrySCAI shock stage

Identifiers

PMID40061415
PMCPMC11887555

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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.