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ICU mortality of post-myocardial infarction ventricular septal defect complicated by cardiogenic shock: a retrospective multicentric cohort.


ABSTRACT:

Purpose

Post myocardial infarction ventricular septal defect (PMI-VSD) complicated by refractory cardiogenic shock is associated with an extremely high mortality rate. We sought to evaluate the factors associated with in-ICU mortality in patients with PMI-VSD-related cardiogenic shock.

Methods

Patients with PMI-VSD complicated by cardiogenic shock, admitted in 10 French tertiary centers between 2008 and 2022, were retrospectively included. The primary outcome was in-ICU mortality. The timing of surgery was classified as early (≤ 7 days) or late (> 7 days). Multivariable analysis was performed to identify the variables associated with in-ICU mortality.

Results

A total of 138 patients were included (mean age 70 (± 10) years, female sex 54%). Of these, 116 patients (84%)

SUBMITTER: Azoulay LD 

PROVIDER: S-EPMC11921731 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature