FOCUS on Cardiogenic Shock and Acute Mechanical Circulatory Support

March 2025

Table of contents

Cardiogenic shock is a life-threatening condition that demands early recognition and timely intervention. Despite advances in acute cardiovascular care, cardiogenic shock remains associated with high mortality, so structured diagnostic and therapeutic strategies are needed. This month’s ESC FOCUS provides resources on how to recognise the early signs of cardiogenic shock and how to guide treatment with the latest ESC Guidelines. You will also get guidance on the optimal use of acute mechanical circulatory support (MCS) and the implementation of shock care teams. This FOCUS brings together cutting-edge guidance and expert insights, to help clinicians integrate new evidence and best practices into everyday care to improve patient outcomes in cardiogenic shock.

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Webinars

Webinar

Transforming cardiogenic shock management: groundbreaking evidence and innovations in acute mechanical circulatory support

25 Mar 2025 - 19:00

FOCUS on Cardiogenic Shock and Acute Mechanical Circulatory Support

March 2025

Content selected by

Professor Maria Generosa Crespo-Leiro

Professor Ronen Beeri

Associate Professor Jordi Baneras Rius

Professor Mattia Arrigo

Webinars

Transforming cardiogenic shock management: groundbreaking evidence and innovations in acute mechanical circulatory support

Introduction to the importance of guideline adherence in the management of cardiogenic shock and the use of acute mechanical circulatory support (AMCS)

Essentials

ESC Guidelines

Key supporting evidence

Relevant textbook chapters

Dig deeper

In practice

Management of Takotsubo cardiomyopathy with haemodynamic instability or incessant arrhythmias

Treatment of acute, uncomplicated Takotsubo cardiomyopathy: if, what, and for how long?

How to personalise vaso-active drugs in the patient on mechanical circulatory support

How to personalise antithrombotic treatment in the patient on mechanical circulatory support

Maximising imaging modalities to personalise management of the patient on mechanical circulatory support

How to manage heart failure when kidney function worsens

Contemporary definition of heart failure-related cardiogenic shock

Heart failure-related cardiogenic shock: impact of extracorporeal membrane oxygenation (ECMO) on survival

Heart failure-related cardiogenic shock: impact of percutaneous left ventricular unloading

Hot off the press: heart failure-related cardiogenic shock - discussion

Death and Neurological Outcome in Patients Delivered to a Cardiac Arrest Centre: Pre-specified secondary analyses of the ARREST Trial

Machine-learning based scoring system to predict cardiogenic shock in acute coronary syndrome

Short-term mechanical circulatory support.

Interface with the specialists

Haemodynamic monitoring in cardiogenic shock

A shock in the treatment of cardiogenic shock?

All cardiac arrest patients should be transferred to a cardiac arrest centre: pro

All cardiac arrest patients should be transferred to a cardiac arrest centre: con

All cardiac arrest patients should be transferred to a cardiac arrest centre - discussion

Patients with cardiac arrest should be excluded from cardiogenic shock trials: pro

Patients with cardiac arrest should be excluded from cardiogenic shock trials: con

Patients with cardiac arrest should be excluded from cardiogenic shock trials - discussion

Mechanical circulatory support in electrical storm

Temporary mechanical circulatory support as a bridge to transplant: what have we learned from the ASIS-TC registry?

Mechanical circulatory support - State of the Art

Pioneers' Viewpoint

ESC Andreas Grüntzig Lecture in Interventional Cardiology - Q&A

Cardiogenic shock complicating acute myocardial infarction - current evidence and future strategies

Invasive and non-invasive cardiac management after cardiac arrest

Extracorporeal life support for acute myocardial infarction complicated by cardiogenic shock - 12 months results of the ECLS-SHOCK trial

Temporary mechanical circulatory support in infarct-related cardiogenic shock - An individual patient data meta-analysis of all randomized trials with 6-month follow-up

Test yourself - eLearning courses

2021 - ESC Guidelines for the diagnosis and treatment of acute and chronic heart

2023 ESC Guidelines on Acute Coronary Syndromes

Monitoring of the kidneys, liver and other vital organs

Acute kidney injury

ESC Pocket Guidelines Mobile App