Shock Team Approaches in Managing Cardiogenic Shock—Intersection Between Critical Care and Advanced Heart Failure and Transplant Cardiology

Abstract

The goal of this review is to evaluate the interface between cardiogenic shock management and advanced heart failure therapy deployment. Cardiogenic shock is an emergency, and rapid recognition should be the first step in management. Although early revascularization and mechanical support promote heart recovery, persistent severe cardiac dysfunction leading to inability to wean hemodynamic support happens in a majority of patients. A shock team approach to cardiogenic shock management has resulted in improved patient outcomes. The timely intervention of the advanced heart failure team for evaluation and mitigation barriers for successful left ventricular assist device implantation or heart transplantation is critical to triage patients for successful exit strategies. An organized, protocolized, patient-centered team of team approach is key to maximizing chances of recognizing potential advanced heart failure therapy candidates.