Chandigarh: Professor Yash Paul Sharma, Head, Department of Cardiology, Advanced Cardiac Center, PGIMER, Chandigarh delivered a lecture on “Acute Coronary Syndrome and Cardiogenic Shock – Mortality. The changing scenario” and Chaired a Session as Guest Faculty at TCT 2019 held recently at San Francisco.
There was lesser mortality in patients with acute coronary syndrome and cardiogenic shock with all co-morbidities like Mechanical Complications anemia, Sepsis, Renal Failure, Arrhythmia, Frailty Shock Diabetes, Hypothyroidism. There was wide appreciation by the Cardiologists across the globe.
Out of 632 patients with acute coronary syndrome STEMI, NSTMI USA formed 70.4%, 11.6 % & 18 % respectively. The overall mortality was 6.8 % (including cardiogenic shock patients). The mortality in Cardiogenic Shock (in 111) patients was 29.9% which also included those with mechanical complications and co-morbidities. This cardiogenic shock patient mortality is lower than the mortality reported in the literature. It is the only study till now which included acute coronary syndrome patients with all co-morbidities including those with cardiogenic shock and mechanical complications. These patients were from all socio-economic strata including from lower socio-economic status. Overall, this mortality is lower when compared to previously reported in the literature. The department is doing research in patients with Cardiogenic Shock since, 2009 and a large number of Cardiogenic Shock patients demographics with improved outcomes. This could be achieved by the innovative, strategic and precision approach in a cost-effective manner.