When Other Organs Fail in Cardiogenic Shock: The Domino Effect

Cardiogenic shock is a highly morbid syndrome of systemic hypoperfusion driven by inadequate cardiac output and characterized by multiorgan dysfunction. While temporary mechanical circulatory support (tMCS) can provide life-saving hemodynamic support, it may also contribute to complications that further impact non-cardiac organ function.

This session will review the epidemiology and pathophysiology of non-cardiovascular organ dysfunction in cardiogenic shock, including complications related to tMCS. Faculty will provide practical, evidence-based guidance for managing multiorgan dysfunction in the cardiac intensive care unit, incorporating insights from registries and clinical trials.

Case-based examples will highlight real-world application, followed by a panel discussion to engage the audience in addressing key challenges and future directions in care.

Learning Objectives

• Define the epidemiology of non-cardiovascular organ dysfunction in cardiogenic shock and the most common complications of temporary mechanical circulatory support (tMCS) devices.
• Understand the pathophysiology of non-cardiovascular organ dysfunction in cardiogenic shock and the interactions between organ support, the failing heart, and tMCS devices.
• Develop a practical clinical framework for preventing and managing non-cardiovascular complications in cardiogenic shock.