The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Editorial

Prognosis after AMI-related cardiogenic shock: myocardial blush score is one piece of the puzzle

EuroIntervention 2021;16:e1209-e1210. DOI: 10.4244/EIJV16I15A217

1. Northside Hospital Cardiovascular Institute, Atlanta, GA, USA


Although early primary percutaneous coronary interventions (PCI) have dramatically improved survival in patients with ST-segment elevation myocardial infarction (STEMI), patients who develop cardiogenic shock (CS) after acute MI are often not managed with guideline-recommended therapies and mortality rates remain high. In addition, among patients who receive PCI for CS, the mortality rates appear to be increasing over time, perhaps due to treatment of higher acuity patients1. These observations underscore the need for a better understanding of the pathology and more effective treatments.

We know that PCI success is an important determinant of survival. Primary PCI in early presenting, ...

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