Article Dans Une Revue Resuscitation Plus Année : 2025

Comparative features and outcomes of cardiogenic shock in patients with and without prior resuscitated shockable cardiac arrest: Insight from the FRENSHOCK multicenter prospective registry

H Merdji (1, 2, 3) , V Bataille (4, 5) , A Curtiaud (1) , L Bonello (6, 7, 8) , François Roubille (9, 10) , B Levy (11) , P Lim (12, 13) , Jc Dib (14) , Julien Maizel (15) , N Brechot (16, 17) , M Beuzelin (18) , E Fillippi (19) , M Cherbi (20, 5) , J Demiselle (1, 2, 3) , G Rangé (21) , J Joffre (22) , M Yassine (23) , C Biendel (20, 5) , F Bounes (5) , G Leurent (24, 25) , E Gerbaud (26, 27) , E Bonnefoy (28) , E Puymirat (16, 29) , C Delmas (20, 5)
1 CHU Strasbourg - Centre Hospitalier Universitaire [Strasbourg]
2 UNISTRA - Université de Strasbourg
3 Nouvel Hôpital Civil de Strasbourg
4 CERPOP - Centre d'Epidémiologie et de Recherche en santé des POPulations
5 CHU Toulouse - Centre Hospitalier Universitaire de Toulouse
6 AMU - Aix Marseille Université
7 MARS cardio - Mediterranean Association for Research and Studies in Cardiology
8 Hôpital Nord [CHU - APHM]
9 PhyMedExp - Physiologie & médecine expérimentale du Cœur et des Muscles [U 1046]
10 CHRU Montpellier - Centre Hospitalier Régional Universitaire [Montpellier]
11 CHRU Nancy - Centre Hospitalier Régional Universitaire de Nancy
12 IMRB - Institut Mondor de Recherche Biomédicale
13 Hôpital Henri Mondor
14 CAPE - Clinique Ambroise Paré - ELSAN
15 Médecine Intensive-Réanimation [CHU Amiens]
16 HEGP - Hôpital Européen Georges Pompidou [APHP]
17 UPD5 - Université Paris Descartes - Paris 5
18 Centre hospitalier de Dieppe
19 CHBA - Centre hospitalier Bretagne Atlantique (Morbihan)
20 UPS/Inserm U1297 - I2MC - Institut des Maladies Métaboliques et Casdiovasculaires
21 Hôpital Louis Pasteur [Chartres]
22 CHU Saint-Antoine [AP-HP]
23 CHR Metz-Thionville - Centre hospitalier régional de Metz-Thionville
24 LTSI - Laboratoire Traitement du Signal et de l'Image
25 Centre Hospitalier Universitaire de Rennes [CHU Rennes] = Rennes University Hospital [Pontchaillou]
26 CRCTB - Centre de recherche Cardio-Thoracique de Bordeaux [Bordeaux]
27 Hôpital Haut-Lévêque [CHU Bordeaux]
28 HCL - Hospices Civils de Lyon
29 UPMC - Université Pierre et Marie Curie - Paris 6

Résumé

Aim: Differences between cardiogenic shock (CS) with and without prior resuscitated cardiac arrest (CA) remain largely unexplored. We hypothesized that patients who experience shockable CA followed by CS are likely to have worse outcomes compared to CS without prior CA.Methods: FRENSHOCK is a prospective multicenter observational registry conducted in French critical care units in 2016, which included CS from various etiologies. Patients admitted after resuscitation of a CA were included if they fulfilled previously defined CS criteria. Non-shockable rhythms at the time of medical intervention were considered exclusion criteria and were not recorded in the registry.Results: Among the 771 enrolled patients (mean age 65.7 ± 14.9 years; 71.5 % male), 79 (10.2 %) had a resuscitated shockable cardiac arrest just before inclusion. Shockable CA patients had more respiratory support (78.5 % vs. 33.2 %, p < 0.001), more mechanical circulatory support (35.4 % vs. 16.5 %, p < 0.001), more coronary angiography performed (76 % vs. 48.8 %, p < 0.001), finding more mono-troncular lesions (39 % vs. 16.9 %, p < 0.001). Thirty-day and one-year survival were similar between groups. Among 30-day survivors, CS with an initial shockable CA exhibited significantly improved long-term survival compared to CS without prior resuscitated CA.Conclusion: In a cohort of patients with cardiogenic shock from various etiologies, approximately 10% had experienced prior resuscitation following a cardiac arrest with shockable rhythms. Our findings suggest that selected cardiac arrest with a shockable rhythm leading to cardiogenic shock does not inherently confer a worse prognosis compared to other causes of cardiogenic shock.

Fichier principal
Vignette du fichier
1-s2.0-S2666520425001614-main.pdf (750.17 Ko) Télécharger le fichier
Origine Fichiers éditeurs autorisés sur une archive ouverte
Licence

Dates et versions

hal-05196168 , version 1 (09-10-2025)

Licence

Identifiants

Citer

H Merdji, V Bataille, A Curtiaud, L Bonello, François Roubille, et al.. Comparative features and outcomes of cardiogenic shock in patients with and without prior resuscitated shockable cardiac arrest: Insight from the FRENSHOCK multicenter prospective registry. Resuscitation Plus, 2025, 25, pp.101024. ⟨10.1016/j.resplu.2025.101024⟩. ⟨hal-05196168⟩
2765 Consultations
92 Téléchargements

Altmetric

Partager

  • More