In 2016, leading physicians from 5 hospital systems in Detroit (Henry Ford, DMC, Beaumont, St. Joseph Mercy and St. John-Providence) got together to make the first improvements in Cardiogenic Shock survival in over 20 years. Similar to how these same physicians worked together to help define STEMI treatment and door-to-balloon time, they are now working to revolutionize treatment of cardiogenic shock utilizing data collected over the past 10 years.
From July 2016 to February 2017, a pilot study was done assessing the data on 37 enrolled patients using the Detroit CSI protocol based on best practices and currently available devices. The initial results showed an in crease in CGS survival from 50% to 80%.
The protocol has 3 pillars for success:
- Rapid Door to Support time (placement of the Impella catheter)
- Immediate PCI
- Aggressive reduction in the use of inotropic/vasopressive medications post-procedure (as monitored through right-heart pressures and hemodynamic measurements)