Learning Objectives:

At the conclusion of this session, participants will be able to:

  • improve communication between clinicians involved in management of patients with cardiogenic shock;
  • summarize the relevant information and parameters required for an optimal communication between clinicians;
  • identify a futile situation to optimize resource utilizations;
  • identify the best timing to consider a transfer of a patient with cardiogenic shock when I do not have access to advanced heart failure therapies; and
  • recognize early when a patient with a cardiogenic shock needs to be transferred in a tertiary or quaternary center for advanced heart failure therapies.


The management of patients with cardiogenic shock requires a lot of resources and expertise which are not always available where the shock is initially diagnosed. Clinicians in a non-tertiary center may need to transfer a patient with CS to a center with a dedicated team and resources. An optimal communication by sharing the appropriate information is key to optimize patient’s care efficiency and to avoid a waste of resources. The decision whether to transfer a patient with CS and the timing of the transfer is an important question that needs to be discussed in a multidisciplinary panel. This symposium will target all the clinicians involved in the care of patients with cardiogenic shock, trainees in cardiology, cardiac surgery, intensive care, physician assistants, nurses practitioners, ER doctors, and perfusionists.