3002Impact of pre-hospital resuscitation on short- and long-term mortality in patients with cardiogenic shock undergoing revascularization. Results of the IABP-SHOCK study

Abstract

Background: There are only scarce data on the outcome of in patients with prehospital cardio-pulmonary resuscitation (CPR) admitted with acute myocardial infarction (AMI) complicated by cardiogenic shock and an invasive strategy including primary percutaneous coronary intervention (PCI). Therefore we evaluated the impact of pre-hospital CPR on outcomes in a large group of patients with AMI complicated by cardiogenic shock. Methods: We used the data of the prospective IABP-Shock trial and registry and including patients with acute myocardial infarction complicated by cardiogenic shock. Patients were prospectively followed for 12 months. Results: Between 2008 and 2011 a total of 784 patients were included in the randomized trial and in the registry, 359 (46%) had CPR. Baseline characteristics, (Table presented) procedural features and outcomes in the two groups with and without CPR are given in the table. Conclusion: Patients with pre-hospital CPR represent about 50% of the population with AMI complicated by cardiogenic shock. They are younger, have less risk factors and less extensive coronary disease. Despite a high success rate of PCI patients with CPR have a higher 30-day and 12-month mortality.