Search
Should We Emergently Revascularize Occluded Coronaries for Cardiogenic Shock (SHOCK) trial
Study characteristics:
- 302 patients with acute myocardial infarction, who developed cardiogenic shock within 36 hours of admission
Groups:
1) percutaneous coronary intervention, or CABG within 6 hours of randomization
2) medical management*, including thrombolyis (63&)
* PCI or CABG allowed after 54 hours (25%)
Results
1) benefits of early revascularization (PCI, CABG) persists at 1, 3 & 6 years
2) survival at 1 year 13% better in intervention group
3) 67% improvement in 6 year survival in intervention group
General
clinical trial
References
- Hochman JS et al,
Early revascularization and long-term survival in cardiogenic
shock complicating myocardial infarction.
JAMA 2006; 295:2511
PMID: 16757723