French Observatory on the Management of Cardiogenic Shock in 2016

The Observatory FRENSHOCK proposes to set up a cohort of 500 patients recruited prospectively over a period of 6 months.

Patients will be followed up at 1 month and 1 year Patients should have agreed to participate in the observatory, knowing that participation or refusal to participate will not alter the therapeutic attitude of the physician responsible for the patient. The study of phenotypic characteristics will not change the therapeutic approach of the medical teams.

Inclusion criteria

• Informed consent
• Cardiogenic shock authenticated by the existence of at least one positive test for each of the following three parts:

(A) Low cardiac output (1 criterion necessary and sufficient):

• Clinic: SBP <90mmHg and / or need to maintain inotropic or vasopressor to maintain SBP> 90 mmHg
• Echocardiography: IC <2.2L / min / m2 and / or LVEF <30%
• Hemodynamics by Swan Ganz catheterization or right: IC 2.2 l / min / m2 (B) elevation of pulmonary pressure / left surcharge (1 criterion necessary and sufficient):
• Clinical (IVD and abortion);
• Radiological (Surcharge on RT or chest CT);
• Organic (NTproBNP> 900pg / ml or BNP> 400pg / ml);
• Echocardiography (E / A> 2 if LVEF <45% or E / Ea> 13 if normal LVEF, or PAPS> 35mmHg and / or TDE <150ms and / or Ap-Am> 30ms and / or E / 2 Vp≥ , 5);
• Right Swan Ganz catheterization or (pulmonary capillary pressures> 15mmHg and / or mPAP> 25mmHg)

(C) Organs malperfusion (1 criterion necessary and sufficient):

• Clinic: oliguria <30ml / kg / h, mottling, consciousness disorders)
• Organic: arterial lactate> 2 mmol / L, liver failure, kidney failure

Exclusion criteria

• Final diagnosis retained other than cardiogenic shock
• Cardiac arrest without spontaneous activity in the hospital management
• Post-cardiotomy cardiogenic shock
• Deprived of liberty patient
• Refusal or lack of consent