SHOCK
Should We Emergently Revascularise Occluded Coronaries for Cardiogenic Shock
Patient / Population Intervention / Exposition Comparaison Critère de jugement
In 302 patients with myocardial-infarction cardiogenic shock, early revascularisation did not reduce 30-day mortality versus initial medical stabilisation, but improved 6-month survival.
N
302
Schéma
International multicentre RCT
Critère
30-day all-cause mortality
Pertinence
1
Résultat46.7% vs 56.0% (p=0.11); 6-mo 50.3% vs 63.1% (p=0.027); benefit persists at 1 and 6 y.
Hochman JS, et al. N Engl J Med. 1999;341(9):625-634. 10.1056/NEJM199908263410901
Discussion et critique
Defined modern reflexive revascularisation in cardiogenic shock; benefit accrues over weeks.