National Heart Center - Saudi Health Council Acute Myocardial Infarction-Related Cardiogenic Shock Consensus Document.

OBJECTIVE

Cardiogenic shock (CS) remains a serious complication of acute myocardial infarction (AMI) with persistently high mortality and significant variability in management across centers.

METHODS

A multidisciplinary panel convened by the National Heart Center used the GRADE framework to review evidence and develop consensus recommendations tailored to AMI-related CS.

RESULTS

The document emphasizes standardized CS definition and staging, prioritizing the SCAI classification. Key components include early recognition, haemodynamic assessment, lactate monitoring, and the central role of echocardiography. Recommendations support rapid culprit-vessel revascularization, early consideration of mechanical circulatory support, and structured Heart Team activation. The document also highlights the need for protocolized care pathways and CS registries.

CONCLUSION

These consensus recommendations provide a unified approach to AMI-related CS aimed at reducing practice variation and improving clinical outcomes.