Management of Cardiogenic Shock in Elderly Patients

Mortality in elderly patients with cariogenic shock is high… in some studies, greater than 75%. This review is of an AHA Scientific Statement  Circulation. 2024;149:e1051–e1065
Cardiogenic Shock in Older Adults: A Focus on Age-Associated Risks and Approach to Management: A Scientific Statement from the American Heart Association. 

Cardiogenic shock is a syndrome associated with significant mortality and morbidity. Age is a non-modifiable risk factor for mortality and is commonly used in the decision-making process for invasive strategies.

Currently there is a lack of good evidence for the very elderly, especially those patients > 80 years of age. Using age only for decision making ignores the presence of other co-morbidities.