Abstract
We have established a regional referral network that facilitates the transfer of patients in cardiogenic shock to our center for definitive management. This “hub-and-spoke” network has proven to be effective in treating this critically ill population. Postcardiotomy shock complicates 2% to 6% of cardiac procedures. 1 The incidence of cardiogenic shock following acute myocardial infarction (AMI) is 5% to 15%. 2 Medical management composed of inotropes and pressors with or without intra-aortic balloon pump support represents the standard of care in treating these patients. The advent of left ventricular assist devices (LVADs) introduced a surgical option for cases refractory to medical management. This study delineates who survives in this population and how the postcardiotomy setting impacts device placement. Methods
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