ACC CardiaCast: Conversations in Heart Failure: Extrapolate With Caution: A STEMI Shock Reality Check

In this episode, Drs. Jenna Skowronski, Francesco Castagna and Saraschandra Vallabhajosyula unpack how assumptions drawn from ST-segment elevation myocardial infarction (STEMI) data may be leading us astray in broader shock management—and what that means for patient outcomes, clinical decision-making, and future research. Why do we keep applying STEMI solutions to non-STEMI problems? Are we oversimplifying cardiogenic shock? And what does real-world data actually tell us?

Join us for a candid, fast-paced conversation that challenges dogma, calls for nuance, and might just change the way you approach shock.

Related References:

  1. Møller JE, Engstrøm T, Jensen LO, et al. Microaxial Flow Pump or Standard Care in Infarct-Related Cardiogenic Shock. N Engl J Med. 2024;390(15):1382-1393. doi:10.1056/NEJMoa2312572.
  2. Castagna F, Desai AS, Mehra MR. DanGerous Extrapolations Within and Beyond STEMI Cardiogenic Shock. JACC Heart Fail. Published online April 26, 2025. doi:10.1016/j.jchf.2025.04.004.

Resources

Clinical Topics: Heart Failure and Cardiomyopathies, Stable Ischemic Heart Disease, Vascular Medicine, Acute Heart Failure, Chronic Angina, Acute Coronary Syndromes, Invasive Cardiovascular Angiography and Intervention

Keywords: CardiaCast, ST Elevation Myocardial Infarction, Shock, Cardiogenic