The Society for Cardiovascular Angiography & Interventions (SCAI), along with two European societies affiliated with the European Society of Cardiology (ESC), European Association of Percutaneous Cardiovascular Interventions (EAPCI) and the Association for Acute Cardiovascular Care (ACVC), has published a new Expert Consensus Statement on Cardiogenic Shock in Women. This statement was published today, May 20, 2025, in JSCAI, the official journal of SCAI. 

This expert consensus statement provides a comprehensive summary of the current state of treatment of cardiogenic shock (CS) in women across the spectrum of cardiovascular disease states. Included are 16 consensus statements, and two primary figures for etiology-specific management and management of cardiogenic shock in women. In addition to the 16 consensus statements, the document also highlights a number of evidence gaps that may be addressed over time with more data and/or in future publications.

 Key guideline takeaways include, but are not limited to:

  • Early and frequent assessments of end-organ function including lactate measurements to improve early diagnosis, risk stratification, and treatment decisions
  • Early pulmonary artery catheter (PAC) usage
  • PAC usage for temporary mechanical circulatory support (tMCS)
  • Early tMCS for women in CS on inotropes/vasopressors, with persistent low cardiac output, rising lactate levels, or other signs of end-organ hypoperfusion
  • Early revascularization for acute myocardial infarction–related cardiogenic shock (AMI-CS)
  • Selective early Impella use (either before or early in PCI) in women with AMI-CS without coma
  • An established multidisciplinary cardio-obstetrics team to guide treatment plans and decision making
  • Early invasive hemodynamics assessment and consideration for early tMCS
  • And more

You can click now access the guideline summary for Cardiogenic Shock in Women, or you can visit the full text CS guideline here.

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