Cardiogenic shock doubles in-hospital mortality risk for children with worsening HF

A study conducted at Texas Children’s Hospital from 2004 to 2018 analyzed 591 children with acute decompensated heart failure and found that 26% of the children developed cardiogenic shock within 24 hours. Children with cardiogenic shock had a significantly higher mortality rate, worse systolic function, higher B-type natriuretic peptide concentration, and more frequent renal and liver injury than those without cardiogenic shock. The study demonstrates the need for a uniform definition and risk stratification system for pediatric cardiogenic shock in order to improve outcomes, and emphasizes the significance of early recognition and consideration of mechanical circulatory support for this high-risk group.

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