SHOCK-COOL: Hypothermia Doesn’t Improve Cardiogenic Shock

By DocWire News Editors - Last Updated: June 29, 2023

Therapeutic hypothermia applied to patients with cardiogenic shock complicating acute myocardial infarction did not provide additional benefit, a new recent study from Circulation suggested. 

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Researchers for the Mild Hypothermia in Cardiogenic Shock Complicating Myocardial Infarction (SHOCK-COOL) trial enrolled 40 patients with cardiogenic shock following acute myocardial infarction who were undergoing percutaneous coronary intervention and randomized them 1:1 to either mild therapeutic hypothermia for 24 hours or usual care. The primary study endpoint was cardiac power index at 24 hours.  

https://twitter.com/grahamnichol/statuses/1038121902449942528

According to the results, there were no observed relevant differences in cardiac power index at 24 hours (0.41 in the hypothermia group versus 0.36 in the control group; P=0.50, median difference -0.025 [95%CI, -0.12 to 0.06 W/m2]. There were no reported differences in any other hemodynamic measurement, and there was no difference reported mortality (P=0.55) between the study groups.  

https://twitter.com/matthewjrowland/statuses/1021390141997318144

“In this randomized trial mild therapeutic hypothermia failed to show a substantial beneficial effect in patients with cardiogenic shock after acute myocardial infarction on cardiac power index at 24 hours,” the authors wrote concluded. 

Source: Circulation 

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