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Factors associated with MCS subtype utilization in STEMI with cardiogenic shock. Adjusted odds ratios (aOR) and 95% CI for factors associated with the utilization of MCS subtypes; ECMO, <t>IABP,</t> and LVAD in cardiogenic shock among STEMI patients are illustrated. Male sex, White race, Medicare insurance, the lowest income quartile, rural hospitals, the Northeast region, and weekday admissions serve as reference categories. The vertical dashed line at aOR = 1 represents the null effect. An aOR >1 indicates a higher likelihood of MCS utilization, while an aOR <1 suggests a lower likelihood compared to the reference category. Statistically significant associations ( P < .05) highlight variations in MCS utilization across demographic, socioeconomic, and hospital-related factors. ECMO, extracorporeal membrane oxygenation; <t>IABP,</t> <t>intraaortic</t> balloon pump; LVAD, left ventricular assist device; MCS, mechanical circulatory support; PI, Pacific Islander; Q2, quartile 2; Q3, quartile 3; Q4, quartile 4; STEMI, ST-elevation myocardial infarction.
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Factors associated with MCS subtype utilization in STEMI with cardiogenic shock. Adjusted odds ratios (aOR) and 95% CI for factors associated with the utilization of MCS subtypes; ECMO, <t>IABP,</t> and LVAD in cardiogenic shock among STEMI patients are illustrated. Male sex, White race, Medicare insurance, the lowest income quartile, rural hospitals, the Northeast region, and weekday admissions serve as reference categories. The vertical dashed line at aOR = 1 represents the null effect. An aOR >1 indicates a higher likelihood of MCS utilization, while an aOR <1 suggests a lower likelihood compared to the reference category. Statistically significant associations ( P < .05) highlight variations in MCS utilization across demographic, socioeconomic, and hospital-related factors. ECMO, extracorporeal membrane oxygenation; <t>IABP,</t> <t>intraaortic</t> balloon pump; LVAD, left ventricular assist device; MCS, mechanical circulatory support; PI, Pacific Islander; Q2, quartile 2; Q3, quartile 3; Q4, quartile 4; STEMI, ST-elevation myocardial infarction.
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Factors associated with MCS subtype utilization in STEMI with cardiogenic shock. Adjusted odds ratios (aOR) and 95% CI for factors associated with the utilization of MCS subtypes; ECMO, IABP, and LVAD in cardiogenic shock among STEMI patients are illustrated. Male sex, White race, Medicare insurance, the lowest income quartile, rural hospitals, the Northeast region, and weekday admissions serve as reference categories. The vertical dashed line at aOR = 1 represents the null effect. An aOR >1 indicates a higher likelihood of MCS utilization, while an aOR <1 suggests a lower likelihood compared to the reference category. Statistically significant associations ( P < .05) highlight variations in MCS utilization across demographic, socioeconomic, and hospital-related factors. ECMO, extracorporeal membrane oxygenation; IABP, intraaortic balloon pump; LVAD, left ventricular assist device; MCS, mechanical circulatory support; PI, Pacific Islander; Q2, quartile 2; Q3, quartile 3; Q4, quartile 4; STEMI, ST-elevation myocardial infarction.

Journal: Journal of the Society for Cardiovascular Angiography & Interventions

Article Title: Impact of Social Determinants of Health on Utilization of Mechanical Circulatory Support Device in STEMI With Cardiogenic Shock

doi: 10.1016/j.jscai.2025.103665

Figure Lengend Snippet: Factors associated with MCS subtype utilization in STEMI with cardiogenic shock. Adjusted odds ratios (aOR) and 95% CI for factors associated with the utilization of MCS subtypes; ECMO, IABP, and LVAD in cardiogenic shock among STEMI patients are illustrated. Male sex, White race, Medicare insurance, the lowest income quartile, rural hospitals, the Northeast region, and weekday admissions serve as reference categories. The vertical dashed line at aOR = 1 represents the null effect. An aOR >1 indicates a higher likelihood of MCS utilization, while an aOR <1 suggests a lower likelihood compared to the reference category. Statistically significant associations ( P < .05) highlight variations in MCS utilization across demographic, socioeconomic, and hospital-related factors. ECMO, extracorporeal membrane oxygenation; IABP, intraaortic balloon pump; LVAD, left ventricular assist device; MCS, mechanical circulatory support; PI, Pacific Islander; Q2, quartile 2; Q3, quartile 3; Q4, quartile 4; STEMI, ST-elevation myocardial infarction.

Article Snippet: Recent advances in shock protocols that incorporate key elements such as timely recognition of CS and utilization/availability of interventions such as MCS devices, percutaneous coronary intervention (PCI), and pulmonary artery catheterization appear to be a driving factor in improving the abovementioned dismal outcomes., MCS entail a wide variety of devices such as catheter-based left ventricular assist devices, intraaortic balloon pump (IABP), Impella (Abiomed), and extracorporeal membrane oxygenation (ECMO) devices.

Techniques: Membrane

Distribution of MCS utilization in STEMI-CS patients based on cardiac arrest. ECMO, extracorporeal membrane oxygenation; IABP, intraaortic balloon pump; LVAD, left ventricular assist device; MCS, mechanical circulatory support; STEMI-CS, ST-elevation myocardial infarction with cardiogenic shock.

Journal: Journal of the Society for Cardiovascular Angiography & Interventions

Article Title: Impact of Social Determinants of Health on Utilization of Mechanical Circulatory Support Device in STEMI With Cardiogenic Shock

doi: 10.1016/j.jscai.2025.103665

Figure Lengend Snippet: Distribution of MCS utilization in STEMI-CS patients based on cardiac arrest. ECMO, extracorporeal membrane oxygenation; IABP, intraaortic balloon pump; LVAD, left ventricular assist device; MCS, mechanical circulatory support; STEMI-CS, ST-elevation myocardial infarction with cardiogenic shock.

Article Snippet: Recent advances in shock protocols that incorporate key elements such as timely recognition of CS and utilization/availability of interventions such as MCS devices, percutaneous coronary intervention (PCI), and pulmonary artery catheterization appear to be a driving factor in improving the abovementioned dismal outcomes., MCS entail a wide variety of devices such as catheter-based left ventricular assist devices, intraaortic balloon pump (IABP), Impella (Abiomed), and extracorporeal membrane oxygenation (ECMO) devices.

Techniques: Membrane