Towards an Understanding of Best Practice - The Good, The Bad and the Future of Cardiogenic Shock Teams.
Publication/Presentation Date
11-22-2025
Abstract
Cardiogenic shock (CS) remains a high-mortality condition that demands rapid diagnosis, coordinated multidisciplinary management, and timely initiation of mechanical circulatory support. As more institutions implement dedicated CS teams, substantial heterogeneity has emerged in how these teams are structured, activated, and sustained. To better characterize this variability and begin defining the components of an optimal CS team, the Society of Critical Care Cardiology (SoCCC), in partnership with the Society for Cardiovascular Angiography and Interventions (SCAI), convened the Inaugural Cardiogenic Shock Teams Think Tank. Held on October 17, 2024, as a pre-conference program to SCAI SHOCK 2024 in Washington, DC, the meeting brought together national leaders in CS care, mechanical circulatory support, and resuscitation to identify shared challenges and propose practical solutions. This manuscript summarizes key insights from this inaugural Think Tank, which represents the first in an ongoing series of collaborative efforts aimed at informing the standardization and optimization of CS teams nationwide. Specifically, we review the ideal composition and core competencies of a CS team; the rationale and emerging evidence supporting dedicated team-based CS care; activation algorithms and operational workflows; and common barriers to establishing and sustaining such teams. We also outline future directions and opportunities to strengthen collaborative infrastructure, refine clinical pathways, and enhance the reliability, responsiveness, and effectiveness of cardiogenic shock teams across diverse healthcare settings.
First Page
107310
Last Page
107310
ISSN
1097-6744
Published In/Presented At
Senman, B., Sinha, S., Truesdell, A. G., Safiriyu, I., Drakos, S., Dupont, A., Basir, M. B., Miller, P. E., Rali, A. S., Bennett, C., Tehrani, B., Cowger, J., Hall, S. A., Rosner, C., Hackmann, A. E., Wang, D. E., Papolos, A. I., Kadosh, B. S., Vallabhajosyula, S., Ferri, M., … Society of Critical Care Cardiology (2025). Towards an Understanding of Best Practice - The Good, The Bad and the Future of Cardiogenic Shock Teams. American heart journal, 107310. Advance online publication. https://doi.org/10.1016/j.ahj.2025.107310
Disciplines
Medicine and Health Sciences
PubMedID
41285212
Department(s)
Department of Medicine, Cardiology Division
Document Type
Article