The Detroit Cardiogenic Shock Initiative (CSI) is now the National Cardiogenic Shock Initiative. Started by William O’Neill, M.D. in 2016, National CSI began as a collaboration between four different Detroit-area hospital systems with the goal of improving mortality in patients suffering from Cardiogenic Shock. Since then, a common treatment and data collection protocol is being used at hospital systems across the country to track the results and measure success. The life-saving Initiative now includes a variety of hospitals nationwide.
Partnering hospital systems use a defined protocol for treatment of AMI patients in cardiogenic shock which includes quick placement of the lmpella heart pump, PCI, and right heart monitoring to rapidly reduce the use of inotropes. Quality data is collected on each patient. The initial pilot study has shown improvement in survival rates from 50% to 72% as presented at ACC.17.
Dr. O’Neill discusses the evolution of the National Cardiogenic Shock Initiative with “Diagnostic and Interventional Cardiology” Editor Dave Fornell at TCT 2017.