title: Long-term outcome in early survivors of cardiogenic shock at the acute stage of myocardial infarction: a landmark analysis from the French registry of Acute ST-elevation and non-ST-elevation Myocardial Infarction (FAST-MI) Registry.
abstract: BACKGROUND
  There are little data about patients with cardiogenic shock (CS) who survive the early phase of acute myocardial infarction (AMI). The aim of this study was to assess long-term (5-year) mortality among early survivors of AMI, according to the presence of CS at the acute stage.
  
  
  METHODS
  We analyzed 5-year follow-up data from the French registry of Acute ST-elevation and non-ST-elevation Myocardial Infarction (FAST-MI) 2005 registry, a nationwide French survey including consecutive patients admitted for ST or non-ST-elevation AMI at the end of 2005 in 223 institutions.
  
  
  RESULTS
  Of 3670 patients enrolled, shock occurred in 224 (6.1%), and 3411 survived beyond 30 days or hospital discharge, including 99 (2.9%) with shock. Early survivors with CS had a more severe clinical profile, more frequent concomitant in-hospital complications, and were less often managed invasively than those without CS.
  
  
  CONCLUSIONS
  In patients surviving the early phase of AMI, CS at the initial stage carries an increased risk of death up to one year after the acute event. Beyond one year, however, mortality is similar to that of patients without shock.
  
  
  BACKGROUND
  ClinicalTrials.gov number, NCT00673036, Registered May 5, 2008.
authors.forename: Nadia
authors.initials: N
authors.lastname: Aissaoui
authors.forename: Etienne
authors.initials: E
authors.lastname: Puymirat
authors.forename: Tabassome
authors.initials: T
authors.lastname: Simon
authors.forename: Eric
authors.initials: E
authors.lastname: Bonnefoy-Cudraz
authors.forename: Denis
authors.initials: D
authors.lastname: Angoulvant
authors.forename: Francois
authors.initials: F
authors.lastname: Schiele
authors.forename: Hakim
authors.initials: H
authors.lastname: Benamer
authors.forename: Philippe
authors.initials: P
authors.lastname: Quandalle
authors.forename: Fabrice
authors.initials: F
authors.lastname: Prunier
authors.forename: Eric
authors.initials: E
authors.lastname: Durand
authors.forename: Laurence
authors.initials: L
authors.lastname: Berard
authors.forename: Didier
authors.initials: D
authors.lastname: Blanchard
authors.forename: Nicolas
authors.initials: N
authors.lastname: Danchin
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D005602:France / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000401:mortality*; D012042:Registries; D012770:Shock, Cardiogenic / Q000175:diagnosis* / Q000401:mortality*; D015996:Survival Rate / Q000639:trends; D013997:Time Factors; D016896:Treatment Outcome