Evidence map›Paper›PMID 42120712›Full record

ReviewCardiology and therapy2026

Cardiogenic Shock Centers and Protocols for Acute Cardiovascular Care: Bridging the Gap Between Spoke and Hub Sites.

Chirag Mehta, Sahas Chandragiri, Carl Atallah, Heena Asnani, Aryan Mehta, Brian Welling, Colleen McCarthy, Alexander Sweeting, Howard A Cooper, Srihari S Naidu and 2 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Cardiology and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Chirag MehtaDepartment of Cardiology, Westchester Medical Center, New York Medical College, Valhalla, NY, USA.
Sahas ChandragiriDepartment of Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Carl AtallahDepartment of Medicine, Roger Williams Medical Center, Providence, Rhode Island, USA.
Heena AsnaniDepartment of Medicine, Roger Williams Medical Center, Providence, Rhode Island, USA.
Aryan MehtaBrown University Health Cardiovascular Institute, Providence, Rhode Island, USA.
Brian WellingDepartment of Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Colleen McCarthyDepartment of Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Alexander SweetingDepartment of Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Howard A CooperDepartment of Cardiology, Westchester Medical Center, New York Medical College, Valhalla, NY, USA.
Srihari S NaiduDepartment of Cardiology, Westchester Medical Center, New York Medical College, Valhalla, NY, USA.
J Dawn AbbottBrown University Health Cardiovascular Institute, Providence, Rhode Island, USA.
Saraschandra VallabhajosyulaBrown University Health Cardiovascular Institute, Providence, Rhode Island, USA. svallabhajosyula@brownhealth.org.ORCID http://orcid.org/0000-0002-1631-8238

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiogenic shock (CS) is a syndrome of low cardiac output associated with high inpatient morbidity and mortality. Studies have supported the early transfer of patients with CS from spoke sites to the nearest regional hub center, forming the basis for the "hub-and-spoke" model. Contemporary CS algorithms revolve around invasive hemodynamic monitoring and temporary mechanical circulatory support guided by a multidisciplinary CS team. However, these protocols have limited applicability to the majority of spoke sites due to the limitations of resources, equipment, and personnel, further contributing to inequities in CS care. In this review, we seek to provide a blueprint for a generalizable approach to CS, an algorithm for intrahospital care escalation based on CS severity, and an example protocol detailing stabilization and monitoring strategies, independent of multidisciplinary CS teams.

Indexed as

Acute cardiovascular careCardiogenic shockProtocolsRegionalizationTeams

Identifiers

PMID42120712
PMCPMC13542023

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.