Chinese Expert Consensus on Establishing a Comprehensive Rescue and Treatment System for Patients With Acute Myocardial Infarction Complicated by Cardiogenic Shock
10.3969/j.issn.1000-3614.2025.09.003
- VernacularTitle:建立急性心肌梗死合并心原性休克综合救治体系的中国专家共识
- Author:
Xiaotong HOU
;
Changsheng MA
;
Bo YU
- Collective Name:Chinese Society of Cardiology,Chinese Medical Association;Chinese Society of Extracorporeal Life Support,Chinese Medical Doctor Association;Chinese Society of Extracorporeal Circulation,Chinese Society of Biomedical Engineering
- Publication Type:Journal Article
- Keywords:
acute myocardial infarction;
cardiogenic shock;
hub-and-spoke model;
transfer;
multidisciplinary team
- From:
Chinese Circulation Journal
2025;40(9):851-861
- CountryChina
- Language:Chinese
-
Abstract:
Acute myocardial infarction complicated by cardiogenic shock(AMI-CS)is a clinical syndrome characterized by decreased cardiac output and inadequate tissue perfusion due to acute myocardial ischemia and necrosis.Despite advances in early revascularization and mechanical circulatory support,the hospital mortality rate remains high.To address this challenge,Chinese Society of Cardiology(Chinese Medical Association),the Chinese Society of Extracorporeal Life Support(Chinese Medical Doctor Association)and Chinese Society of Extracorporeal Circulation(Chinese Society of Biomedical Engineering)organized multidisciplinary experts to formulate the"Chinese Expert Consensus on Establishing a Comprehensive Rescue and Treatment System for Patients With Acute Myocardial Infarction Complicated by Cardiogenic Shock".This consensus proposes the establishment of hub-and-spoke model,with spoke hospitals as branches in the region around the hub hospital for AMI-CS rescue and treatment network.Detailed recommendations are provided on issues such as the implementation of multi-directional transfer strategies,the responsibilities among hospitals at different levels,standardization of patient transfer processes,the application of advanced extracorporeal life support technologies,the cultivation of multidisciplinary comprehensive rescue and treatment teams,and the establishment of medical big data.The goal of this consensus is to further promote the development of the rescue and treatment system for AMI-CS patient in China,optimize the allocation of medical resources,enhance patient rescue and treatment efficiency and quality,and improve their outcomes.
