Interpretation of the 2023 ISHLT consensus statements for heart failure-related cardiogenic shock
The International Society for Heart and Lung Transplantation(ISHLT)convened a meeting in Boston in 2022,where 54 experts reached a consensus on three key issues related to heart failure-related cardiogenic shock(HF-CS)through surveys and group discussions,which was released in 2023.The consensus recommended adopting a"concentric circle"tiered management model,emphasized multidisciplinary team collaboration,and established a referral evaluation system.For non-acute myocardial infarction related cardiogenic shock,the term HF-CS was recommended.Appropriate temporary mechanical circulatory support(tMCS)strategies and anticoagulation protocols were advised to be selected based on specific circumstances,with guidelines provided for tMCS weaning processes and support goals.This consensus offered guidance for clinical practice and research on HF-CS,aiming to improve patient survival and quality of life.This article provided a detailed interpretation of the consensus statement to enhance the diagnosis and treatment of HF-CS patients in China.
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