Abstract

Acute cardiogenic shock (aCS) is associated with high rates of morbidity and mortality despite advancements in therapy. The development of ventricular assist devices (VADs) has emerged as an effective option to rescue patients from circulatory collapse following myocardial infarction, acute myocarditis, or post-cardiotomy shock. The HeartMate II left ventricular assist device (HM-II LVAD) has not been formally studied for use in aCS. We hypothesized that survival with the HM-II LVAD used as the primary mechanical assist device in aCS would be superior to other mechanical circulatory support (MCS) strategies.

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