Comparative features and outcomes of cardiogenic shock in patients with and without prior resuscitated shockable cardiac arrest: Insight from the FRENSHOCK multicenter prospective registry
Aim: Differences between cardiogenic shock (CS) with and without prior resuscitated cardiac arrest (CA) remain largely unexplored. We hypothesized that patients who experience shockable CA followed by CS are likely to have worse outcomes compared to CS without prior CA. Methods: FRENSHOCK is a prosp...
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Elsevier
2025-09-01
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| Series: | Resuscitation Plus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666520425001614 |
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| author | Hamid Merdji Vincent Bataille Anais Curtiaud Laurent Bonello François Roubille Bruno Levy Pascal Lim Jean-Claude Dib Julien Maizel Nicolas Brechot Marion Beuzelin Emmanuelle Fillippi Miloud Cherbi Julien Demiselle Grégoire Rangé Jérémie Joffre Marwan Yassine Caroline Biendel Fanny Bounes Guillaume Leurent Edouard Gerbaud Eric Bonnefoy Etienne Puymirat Clément Delmas Nadia Aissaoui François Bagate Marion Beuzelin Caroline Biendel Florence Boissier Laurent Bonello Éric Bonnefoy-Cudraz Marie Boughenou Stéphane Boule Jérémie Bourenne Nicolas Brechot Cédric Bruel Alain Cariou Philippe Castellant Sébastien Champion Karim Chaoui Marion Chatot Nicolas Combaret Nicolas Debry Xavier Delabranche Jean-Claude Dib Raphael Favory Emmanuelle Filippi Romain Gallet Frédérique Ganster Philippe Gaudard Edouard Gerbaud Brahim Harbaoui Patrick Henry Benoit Herce Fabrice Ivanes Jérémie Joffre Philippe Karoubi Hadi Khachab Khalifé Khalife Kada Klouche Vincent Labbe Marc Laine Nicolas Lamblin Benoit Lattuca Yann Lefetz Gilles Lemesle Philippe Letocart Leurent Bruno Levy Guillaume Louis Julien Maizel Jacques Mansourati Stéphane Manzo-Silberman Séverine Marchand Benjamin Marchandot Stéphanie Marliere Joy Mootien Frédéric Mouquet Louis Niquet Alexis Paternot Vincent Probst Etienne Puymirat Charlotte Quentin Grégoire Range Nassim Redjimi Jean Christophe Richard François Roubille Christophe Saint Etienne Francis Schneider Guillaume Schurtz Marie-France Seronde Julien Ternacle Gérald Vanzetto Elie Zogheib |
| author_facet | Hamid Merdji Vincent Bataille Anais Curtiaud Laurent Bonello François Roubille Bruno Levy Pascal Lim Jean-Claude Dib Julien Maizel Nicolas Brechot Marion Beuzelin Emmanuelle Fillippi Miloud Cherbi Julien Demiselle Grégoire Rangé Jérémie Joffre Marwan Yassine Caroline Biendel Fanny Bounes Guillaume Leurent Edouard Gerbaud Eric Bonnefoy Etienne Puymirat Clément Delmas Nadia Aissaoui François Bagate Marion Beuzelin Caroline Biendel Florence Boissier Laurent Bonello Éric Bonnefoy-Cudraz Marie Boughenou Stéphane Boule Jérémie Bourenne Nicolas Brechot Cédric Bruel Alain Cariou Philippe Castellant Sébastien Champion Karim Chaoui Marion Chatot Nicolas Combaret Nicolas Debry Xavier Delabranche Jean-Claude Dib Raphael Favory Emmanuelle Filippi Romain Gallet Frédérique Ganster Philippe Gaudard Edouard Gerbaud Brahim Harbaoui Patrick Henry Benoit Herce Fabrice Ivanes Jérémie Joffre Philippe Karoubi Hadi Khachab Khalifé Khalife Kada Klouche Vincent Labbe Marc Laine Nicolas Lamblin Benoit Lattuca Yann Lefetz Gilles Lemesle Philippe Letocart Leurent Bruno Levy Guillaume Louis Julien Maizel Jacques Mansourati Stéphane Manzo-Silberman Séverine Marchand Benjamin Marchandot Stéphanie Marliere Joy Mootien Frédéric Mouquet Louis Niquet Alexis Paternot Vincent Probst Etienne Puymirat Charlotte Quentin Grégoire Range Nassim Redjimi Jean Christophe Richard François Roubille Christophe Saint Etienne Francis Schneider Guillaume Schurtz Marie-France Seronde Julien Ternacle Gérald Vanzetto Elie Zogheib |
| author_sort | Hamid Merdji |
| collection | DOAJ |
| description | Aim: Differences between cardiogenic shock (CS) with and without prior resuscitated cardiac arrest (CA) remain largely unexplored. We hypothesized that patients who experience shockable CA followed by CS are likely to have worse outcomes compared to CS without prior CA. Methods: FRENSHOCK is a prospective multicenter observational registry conducted in French critical care units in 2016, which included CS from various etiologies. Patients admitted after resuscitation of a CA were included if they fulfilled previously defined CS criteria. Non-shockable rhythms at the time of medical intervention were considered exclusion criteria and were not recorded in the registry. Results: Among the 771 enrolled patients (mean age 65.7 ± 14.9 years; 71.5 % male), 79 (10.2 %) had a resuscitated shockable cardiac arrest just before inclusion. Shockable CA patients had more respiratory support (78.5 % vs. 33.2 %, p < 0.001), more mechanical circulatory support (35.4 % vs. 16.5 %, p < 0.001), more coronary angiography performed (76 % vs. 48.8 %, p < 0.001), finding more mono-troncular lesions (39 % vs. 16.9 %, p < 0.001). Thirty-day and one-year survival were similar between groups. Among 30-day survivors, CS with an initial shockable CA exhibited significantly improved long-term survival compared to CS without prior resuscitated CA. Conclusion: In a cohort of patients with cardiogenic shock from various etiologies, approximately 10% had experienced prior resuscitation following a cardiac arrest with shockable rhythms. Our findings suggest that selected cardiac arrest with a shockable rhythm leading to cardiogenic shock does not inherently confer a worse prognosis compared to other causes of cardiogenic shock. |
| format | Article |
| id | doaj-art-c4ab1499f76748a78bacd3b8ff6ae80c |
| institution | Kabale University |
| issn | 2666-5204 |
| language | English |
| publishDate | 2025-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Resuscitation Plus |
| spelling | doaj-art-c4ab1499f76748a78bacd3b8ff6ae80c2025-08-20T03:56:04ZengElsevierResuscitation Plus2666-52042025-09-012510102410.1016/j.resplu.2025.101024Comparative features and outcomes of cardiogenic shock in patients with and without prior resuscitated shockable cardiac arrest: Insight from the FRENSHOCK multicenter prospective registryHamid Merdji0Vincent Bataille1Anais Curtiaud2Laurent Bonello3François Roubille4Bruno Levy5Pascal Lim6Jean-Claude Dib7Julien Maizel8Nicolas Brechot9Marion Beuzelin10Emmanuelle Fillippi11Miloud Cherbi12Julien Demiselle13Grégoire Rangé14Jérémie Joffre15Marwan Yassine16Caroline Biendel17Fanny Bounes18Guillaume Leurent19Edouard Gerbaud20Eric Bonnefoy21Etienne Puymirat22Clément Delmas23Nadia AissaouiFrançois BagateMarion BeuzelinCaroline BiendelFlorence BoissierLaurent BonelloÉric Bonnefoy-CudrazMarie BoughenouStéphane BouleJérémie BourenneNicolas BrechotCédric BruelAlain CariouPhilippe CastellantSébastien ChampionKarim ChaouiMarion ChatotNicolas CombaretNicolas DebryXavier DelabrancheJean-Claude DibRaphael FavoryEmmanuelle FilippiRomain GalletFrédérique GansterPhilippe GaudardEdouard GerbaudBrahim HarbaouiPatrick HenryBenoit HerceFabrice IvanesJérémie JoffrePhilippe KaroubiHadi KhachabKhalifé KhalifeKada KloucheVincent LabbeMarc LaineNicolas LamblinBenoit LattucaYann LefetzGilles LemeslePhilippe Letocart LeurentBruno LevyGuillaume LouisJulien MaizelJacques MansouratiStéphane Manzo-SilbermanSéverine MarchandBenjamin MarchandotStéphanie MarliereJoy MootienFrédéric MouquetLouis NiquetAlexis PaternotVincent ProbstEtienne PuymiratCharlotte QuentinGrégoire RangeNassim RedjimiJean Christophe RichardFrançois RoubilleChristophe Saint EtienneFrancis SchneiderGuillaume SchurtzMarie-France SerondeJulien TernacleGérald VanzettoElie ZogheibUniversité de Strasbourg (UNISTRA), Faculté de Médecine, Strasbourg University Hospital, Nouvel Hôpital Civil, Medical Intensive Care Unit, Strasbourg, France; Corresponding author at: Maître de Conférences des Universités, Praticien Hospitalier, Médecine Intensive, Réanimation, Intensive Care Unit Nouvel Hôpital Civil, Hôpitaux Universitaires de Strasbourg, France.Department of Cardiology, Toulouse Rangueil University Hospital, UMR 1295 INSERM, Toulouse, France; Association pour la Médecine de Prévention, Toulouse, FranceUniversité de Strasbourg (UNISTRA), Faculté de Médecine, Strasbourg University Hospital, Nouvel Hôpital Civil, Medical Intensive Care Unit, Strasbourg, FranceAix-Marseille Université, F-13385 Marseille, France; Intensive Care Unit, Department of Cardiology, Assistance Publique-Hôpitaux de Marseille, Hôpital Nord, F-13385 Marseille, France; Mediterranean Association for Research and Studies in Cardiology (MARS Cardio), Marseille, FrancePhyMedExp, Université de Montpellier, INSERM, CNRS, Cardiology Department, INI-CRT, CHU de Montpellier, FranceCHRU Nancy, Réanimation Médicale Brabois, Vandoeuvre-les Nancy, FranceUniv Paris Est Créteil, INSERM, IMRB, F-94010 Créteil, France; AP-HP, Hôpital Universitaire Henri-Mondor, Service de Cardiologie, F-94010 Créteil, FranceClinique Ambroise Paré, Neuilly-sur-Seine, FranceService de Médecine Intensive Réanimation, Centre Hospitalier Universitaire Amiens-Picardie, Amiens, Hauts-de-France, FranceService de Médecine Intensive-Réanimation, Hôpital Européen George-Pompidou, Université Paris Descartes, AP-HP Paris, FranceIntensive Care Unit, Centre Hospitalier de Dieppe, Dieppe, FranceService de Cardiologie, CH de Vannes 56000 Vannes, FranceIntensive Cardiac Care Unit, Rangueil University Hospital, 31059 Toulouse, France; Institute of Metabolic and Cardiovascular Diseases (I2MC), Inserm UMR-1048, 31432 Toulouse, FranceUniversité de Strasbourg (UNISTRA), Faculté de Médecine, Strasbourg University Hospital, Nouvel Hôpital Civil, Medical Intensive Care Unit, Strasbourg, FranceCardiology Department, Centre Hospitalier Louis-Pasteur, 28630 Chartres, FranceService de Réanimation Médicale, Hôpital de Saint Antoine, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, FranceCardiology Department, Centre Hospitalier Metz-Thionville, 57530 Ars-Laquenexy, FranceIntensive Cardiac Care Unit, Rangueil University Hospital, 31059 Toulouse, France; Institute of Metabolic and Cardiovascular Diseases (I2MC), Inserm UMR-1048, 31432 Toulouse, FranceCritical Care Unit, University Teaching Hospital of Rangueil, F-31400 Toulouse Cedex 9, FranceDepartment of Cardiology, CHU Rennes, Inserm, LTSI—UMR 1099, Univ Rennes 1, F-35000 Rennes, FranceIntensive Cardiac Care Unit and Interventional Cardiology, Hôpital Cardiologique du Haut Lévêque, 5 Avenue de Magellan, 33600 Pessac, France; Bordeaux Cardio-Thoracic Research Centre, U1045, Bordeaux University, Hôpital Xavier Arnozan, Avenue du Haut Lévêque, 33600 Pessac, FranceIntensive Cardiac Care Unit, Lyon Bron University Hospital, Lyon, FranceAssistance Publique-Hôpitaux de Paris (AP-HP), Hôpital Européen Georges Pompidou, Department of Cardiology, Université de Paris 75006 Paris, FranceIntensive Cardiac Care Unit, Rangueil University Hospital, 31059 Toulouse, France; Institute of Metabolic and Cardiovascular Diseases (I2MC), Inserm UMR-1048, 31432 Toulouse, France; Recherche et Enseignement en Insuffisance Cardiaque Avancée Assistance et Transplantation (REICATRA), Institut Saint Jacques, CHU Toulouse, FranceAim: Differences between cardiogenic shock (CS) with and without prior resuscitated cardiac arrest (CA) remain largely unexplored. We hypothesized that patients who experience shockable CA followed by CS are likely to have worse outcomes compared to CS without prior CA. Methods: FRENSHOCK is a prospective multicenter observational registry conducted in French critical care units in 2016, which included CS from various etiologies. Patients admitted after resuscitation of a CA were included if they fulfilled previously defined CS criteria. Non-shockable rhythms at the time of medical intervention were considered exclusion criteria and were not recorded in the registry. Results: Among the 771 enrolled patients (mean age 65.7 ± 14.9 years; 71.5 % male), 79 (10.2 %) had a resuscitated shockable cardiac arrest just before inclusion. Shockable CA patients had more respiratory support (78.5 % vs. 33.2 %, p < 0.001), more mechanical circulatory support (35.4 % vs. 16.5 %, p < 0.001), more coronary angiography performed (76 % vs. 48.8 %, p < 0.001), finding more mono-troncular lesions (39 % vs. 16.9 %, p < 0.001). Thirty-day and one-year survival were similar between groups. Among 30-day survivors, CS with an initial shockable CA exhibited significantly improved long-term survival compared to CS without prior resuscitated CA. Conclusion: In a cohort of patients with cardiogenic shock from various etiologies, approximately 10% had experienced prior resuscitation following a cardiac arrest with shockable rhythms. Our findings suggest that selected cardiac arrest with a shockable rhythm leading to cardiogenic shock does not inherently confer a worse prognosis compared to other causes of cardiogenic shock.http://www.sciencedirect.com/science/article/pii/S2666520425001614Heart failureCardiogenic shockCardiac arrestPost-cardiac arrest syndrome |
| spellingShingle | Hamid Merdji Vincent Bataille Anais Curtiaud Laurent Bonello François Roubille Bruno Levy Pascal Lim Jean-Claude Dib Julien Maizel Nicolas Brechot Marion Beuzelin Emmanuelle Fillippi Miloud Cherbi Julien Demiselle Grégoire Rangé Jérémie Joffre Marwan Yassine Caroline Biendel Fanny Bounes Guillaume Leurent Edouard Gerbaud Eric Bonnefoy Etienne Puymirat Clément Delmas Nadia Aissaoui François Bagate Marion Beuzelin Caroline Biendel Florence Boissier Laurent Bonello Éric Bonnefoy-Cudraz Marie Boughenou Stéphane Boule Jérémie Bourenne Nicolas Brechot Cédric Bruel Alain Cariou Philippe Castellant Sébastien Champion Karim Chaoui Marion Chatot Nicolas Combaret Nicolas Debry Xavier Delabranche Jean-Claude Dib Raphael Favory Emmanuelle Filippi Romain Gallet Frédérique Ganster Philippe Gaudard Edouard Gerbaud Brahim Harbaoui Patrick Henry Benoit Herce Fabrice Ivanes Jérémie Joffre Philippe Karoubi Hadi Khachab Khalifé Khalife Kada Klouche Vincent Labbe Marc Laine Nicolas Lamblin Benoit Lattuca Yann Lefetz Gilles Lemesle Philippe Letocart Leurent Bruno Levy Guillaume Louis Julien Maizel Jacques Mansourati Stéphane Manzo-Silberman Séverine Marchand Benjamin Marchandot Stéphanie Marliere Joy Mootien Frédéric Mouquet Louis Niquet Alexis Paternot Vincent Probst Etienne Puymirat Charlotte Quentin Grégoire Range Nassim Redjimi Jean Christophe Richard François Roubille Christophe Saint Etienne Francis Schneider Guillaume Schurtz Marie-France Seronde Julien Ternacle Gérald Vanzetto Elie Zogheib Comparative features and outcomes of cardiogenic shock in patients with and without prior resuscitated shockable cardiac arrest: Insight from the FRENSHOCK multicenter prospective registry Resuscitation Plus Heart failure Cardiogenic shock Cardiac arrest Post-cardiac arrest syndrome |
| title | Comparative features and outcomes of cardiogenic shock in patients with and without prior resuscitated shockable cardiac arrest: Insight from the FRENSHOCK multicenter prospective registry |
| title_full | Comparative features and outcomes of cardiogenic shock in patients with and without prior resuscitated shockable cardiac arrest: Insight from the FRENSHOCK multicenter prospective registry |
| title_fullStr | Comparative features and outcomes of cardiogenic shock in patients with and without prior resuscitated shockable cardiac arrest: Insight from the FRENSHOCK multicenter prospective registry |
| title_full_unstemmed | Comparative features and outcomes of cardiogenic shock in patients with and without prior resuscitated shockable cardiac arrest: Insight from the FRENSHOCK multicenter prospective registry |
| title_short | Comparative features and outcomes of cardiogenic shock in patients with and without prior resuscitated shockable cardiac arrest: Insight from the FRENSHOCK multicenter prospective registry |
| title_sort | comparative features and outcomes of cardiogenic shock in patients with and without prior resuscitated shockable cardiac arrest insight from the frenshock multicenter prospective registry |
| topic | Heart failure Cardiogenic shock Cardiac arrest Post-cardiac arrest syndrome |
| url | http://www.sciencedirect.com/science/article/pii/S2666520425001614 |
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comparativefeaturesandoutcomesofcardiogenicshockinpatientswithandwithoutpriorresuscitatedshockablecardiacarrestinsightfromthefrenshockmulticenterprospectiveregistry AT jacquesmansourati comparativefeaturesandoutcomesofcardiogenicshockinpatientswithandwithoutpriorresuscitatedshockablecardiacarrestinsightfromthefrenshockmulticenterprospectiveregistry AT stephanemanzosilberman comparativefeaturesandoutcomesofcardiogenicshockinpatientswithandwithoutpriorresuscitatedshockablecardiacarrestinsightfromthefrenshockmulticenterprospectiveregistry AT severinemarchand comparativefeaturesandoutcomesofcardiogenicshockinpatientswithandwithoutpriorresuscitatedshockablecardiacarrestinsightfromthefrenshockmulticenterprospectiveregistry AT benjaminmarchandot comparativefeaturesandoutcomesofcardiogenicshockinpatientswithandwithoutpriorresuscitatedshockablecardiacarrestinsightfromthefrenshockmulticenterprospectiveregistry AT stephaniemarliere comparativefeaturesandoutcomesofcardiogenicshockinpatientswithandwithoutpriorresuscitatedshockablecardiacarrestinsightfromthefrenshockmulticenterprospectiveregistry AT joymootien comparativefeaturesandoutcomesofcardiogenicshockinpatientswithandwithoutpriorresuscitatedshockablecardiacarrestinsightfromthefrenshockmulticenterprospectiveregistry AT fredericmouquet comparativefeaturesandoutcomesofcardiogenicshockinpatientswithandwithoutpriorresuscitatedshockablecardiacarrestinsightfromthefrenshockmulticenterprospectiveregistry AT louisniquet comparativefeaturesandoutcomesofcardiogenicshockinpatientswithandwithoutpriorresuscitatedshockablecardiacarrestinsightfromthefrenshockmulticenterprospectiveregistry AT alexispaternot comparativefeaturesandoutcomesofcardiogenicshockinpatientswithandwithoutpriorresuscitatedshockablecardiacarrestinsightfromthefrenshockmulticenterprospectiveregistry AT vincentprobst comparativefeaturesandoutcomesofcardiogenicshockinpatientswithandwithoutpriorresuscitatedshockablecardiacarrestinsightfromthefrenshockmulticenterprospectiveregistry AT etiennepuymirat comparativefeaturesandoutcomesofcardiogenicshockinpatientswithandwithoutpriorresuscitatedshockablecardiacarrestinsightfromthefrenshockmulticenterprospectiveregistry AT charlottequentin comparativefeaturesandoutcomesofcardiogenicshockinpatientswithandwithoutpriorresuscitatedshockablecardiacarrestinsightfromthefrenshockmulticenterprospectiveregistry AT gregoirerange comparativefeaturesandoutcomesofcardiogenicshockinpatientswithandwithoutpriorresuscitatedshockablecardiacarrestinsightfromthefrenshockmulticenterprospectiveregistry AT nassimredjimi comparativefeaturesandoutcomesofcardiogenicshockinpatientswithandwithoutpriorresuscitatedshockablecardiacarrestinsightfromthefrenshockmulticenterprospectiveregistry AT jeanchristopherichard comparativefeaturesandoutcomesofcardiogenicshockinpatientswithandwithoutpriorresuscitatedshockablecardiacarrestinsightfromthefrenshockmulticenterprospectiveregistry AT francoisroubille comparativefeaturesandoutcomesofcardiogenicshockinpatientswithandwithoutpriorresuscitatedshockablecardiacarrestinsightfromthefrenshockmulticenterprospectiveregistry AT christophesaintetienne comparativefeaturesandoutcomesofcardiogenicshockinpatientswithandwithoutpriorresuscitatedshockablecardiacarrestinsightfromthefrenshockmulticenterprospectiveregistry AT francisschneider comparativefeaturesandoutcomesofcardiogenicshockinpatientswithandwithoutpriorresuscitatedshockablecardiacarrestinsightfromthefrenshockmulticenterprospectiveregistry AT guillaumeschurtz comparativefeaturesandoutcomesofcardiogenicshockinpatientswithandwithoutpriorresuscitatedshockablecardiacarrestinsightfromthefrenshockmulticenterprospectiveregistry AT mariefranceseronde comparativefeaturesandoutcomesofcardiogenicshockinpatientswithandwithoutpriorresuscitatedshockablecardiacarrestinsightfromthefrenshockmulticenterprospectiveregistry AT julienternacle comparativefeaturesandoutcomesofcardiogenicshockinpatientswithandwithoutpriorresuscitatedshockablecardiacarrestinsightfromthefrenshockmulticenterprospectiveregistry AT geraldvanzetto comparativefeaturesandoutcomesofcardiogenicshockinpatientswithandwithoutpriorresuscitatedshockablecardiacarrestinsightfromthefrenshockmulticenterprospectiveregistry AT eliezogheib comparativefeaturesandoutcomesofcardiogenicshockinpatientswithandwithoutpriorresuscitatedshockablecardiacarrestinsightfromthefrenshockmulticenterprospectiveregistry |