A questionnaire survey analyzed 142 Beijing hospitals to assess variation in care for cardiogenic shock complicating acute myocardial infarction. PCI capability was absent in 33.1% of hospitals, while 26.0% offered temporary or durable mechanical circulatory support. Pulmonary artery catheter monitoring was uncommon across hospital levels, and continuous lactate monitoring varied significantly between levels. Shock teams were available in 71.9% of Level 1 and 44.4% of Level 2 hospitals, while only 31.9% of Level 3 hospitals had established referral networks.
This survey identifies gaps in reported cardiogenic-shock infrastructure and monitoring across Beijing hospitals. It does not establish whether these differences affect patient outcomes.
Study limitation: Hospital questionnaire responses describe reported practices rather than patient-level care; no patient outcomes were reported.
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