Evidence map›Paper›PMID 40940116›Full record

ArticleJACC. Case reports2025

Cardiogenic Shock Management: Single-Center Experience With a Percutaneous Left Ventricular Assist Device Escalation Strategy.

Soomal Rafique, Raj Patel, Asad Cheema, Tony DeMartini, Abdul Moiz Hafiz

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Soomal RafiqueDepartment of Internal Medicine, Southern Illinois University School of Medicine, Springfield, Illinois, USA. Electronic address: srafique73@siumed.edu.
Raj PatelDivision of Cardiology, Department of Internal Medicine, Southern Illinois University School of Medicine, Springfield, Illinois, USA.
Asad CheemaDivision of Cardiology, Department of Internal Medicine, Southern Illinois University School of Medicine, Springfield, Illinois, USA.
Tony DeMartiniDivision of Cardiology, Department of Internal Medicine, Southern Illinois University School of Medicine, Springfield, Illinois, USA; Midwest Cardiovascular Institute, Naperville, Illinois, USA.
Abdul Moiz HafizDivision of Cardiology, Department of Internal Medicine, Southern Illinois University School of Medicine, Springfield, Illinois, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mortality rates for cardiogenic shock (CS) remain high, but the development of percutaneous left ventricular assist devices and the adoption of a shock-team approach, which emphasizes early use of mechanical circulatory support (MCS) devices and hemodynamic monitoring, has been shown to improve outcomes. The introduction of the Impella CP and Impella 5.5 has expanded options for left ventricular temporary MCS. This case series highlights our experience managing patients with CS using a shock protocol escalation strategy from Impella CP to Impella 5.5. Notably, all cases reflect the decision-making process of transitioning to a different MCS modality quickly based on real-time hemodynamic data. We believe our shock protocol can be easily adapted by most US hospitals with cardiac catheterization laboratories and can be replicated in most settings with minimal adjustments.

Indexed as

cardiogenic shock (CS)hemodynamicsImpellapercutaneous left ventricular assist device (LVAD)right heart catheterization (RHC)

Identifiers

PMID40940116
PMCPMC12789787

What OpenQuestion holds

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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.