Cardiogenic Shock in Older Adults: A Focus on Age-Associated Risks and Approach to Management
Published: February 26, 2024
- Older adults are increasingly presenting with cardiogenic shock (CS), including more frequent use of temporary mechanical circulatory support (tMCS). There are limited data to guide the care of this high-risk population, and available guidance has an over-reliance on chronological age without accounting for geriatric co-morbidities.
- This scientific statement reviews current epidemiology and risk-assessment, while also providing suggestions on management of CS in older adult patients.
- Further research is needed to identify older patients who may benefit from more aggressive treatment of CS. These include increasing their representation in CS clinical trials and incorporating meaningful endpoints specific to this population.
Cardiogenic Shock in Older Adults: A Focus on Age-Associated Risks and Approach to Management
Cardiologists, Vanessa Blumer and Manreet Kanwar, discuss their American Heart Association scientific statement on cardiogenic shock in older adults, emphasizing the high mortality rate associated with cardiogenic shock and the influence of age on treatment decisions. They highlight the importance of individual patient factors, shared decision-making, and the need for comprehensive, interdisciplinary approaches in treating older adults with cardiogenic shock.
Supporting Materials
- Commentary: Cardiogenic Shock in Older Adults: The Intersection of Geriatric Medicine and Critical Care Cardiology by Alexander E. Sullivan, MD; Angela M. Lowenstern, MD, MHS
- Top Things to Know: Cardiogenic Shock in Older Adults: A Focus on Age-Associated Risks and Approach to Management
Recommended Reading
- 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure
- Prevention of Complications in the Cardiac Intensive Care Unit
- Management of Acute Coronary Syndrome in the Older Adult Population
- Invasive Management of Acute Myocardial Infarction Complicated by Cardiogenic Shock
- Contemporary Management of Cardiogenic Shock