ArticleResuscitation plus2025
Clinical characteristics, management, and outcomes of acute myocardial infarction-related cardiogenic shock patients with and without out-of-hospital cardiac arrest: a Gulf region registry analysis.
Article in Resuscitation plus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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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.
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Who cites it
1 citing paper in PubMed.
- Phenotyping cardiogenic shock: an insight from the gulf cardiogenic shock registry.Frontiers in artificial intelligence · 2026Article
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Authors and funding
40 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Out-of-hospital cardiac arrest (OHCA) in the setting of acute myocardial infarction-related cardiogenic shock (AMI-CS) represents a particularly high-risk subgroup. The Cardiac Arrest Hospital Prognosis (CAHP) score is a prognostic tool used in post-arrest care; however, its utility in predicting in-hospital mortality among OHCA survivors with AMI-CS in the Gulf region remains unclear. This study assessed differences in clinical characteristics and outcomes between AMI-CS patients with and without OHCA and evaluated the discriminative ability of the CAHP score. Methods: A retrospective analysis was performed using data from the Gulf-CS registry, including 1513 patients diagnosed with AMI-CS from 2020 to 2022. Patients were stratified by the presence of OHCA at presentation. Results: Among the cohort, 138 patients (9.1 %) experienced OHCA and survived to hospital presentation. These patients were younger and with fewer comorbidities. ST-elevation myocardial infarction (STEMI) was significantly more common in the OHCA group (89.1 % vs. 72.3 %, P < 0.001). Despite the severity of OHCA, in-hospital mortality was lower in this group compared to those without arrest (34.8 % vs. 46.5 %, P = 0.009), although they had a higher incidence of cerebrovascular accidents (9.4 % vs. 5.2 %, P = 0.042). The CAHP score was strongly associated with in-hospital mortality (OR: 1.067, P < 0.001), with the highest risk observed in those with scores >200 (64.6 % mortality). Conclusion: Among AMI-CS patients, those with OHCA who survive to hospital presentation exhibit lower in-hospital mortality. The CAHP score demonstrated good discriminative ability for in-hospital mortality in this population.
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