Prognosis

Offer urgent revascularisation (within 6 hours) if cardiogenic shock develops within 36 hours of the infarct. ^a 

Why?

• Patients revasculariased within 6 hours of developing cardiogenic shock following a myocardial infarction are less likely to die than patients who receive initial medical stabilisation and delayed revascularisation. ^a 

Intensive insulin treatment reduces mortality for patients with a glucose > 11.0 mmol/l.

Patient	Treatment	Comparison	Outcome	CER	RRR (95% CI)	NNT (95% CI)
myocardial infarction and cardiogenic shock within 36 hours a	early revascularisation within 6 hours	medical stabilisation and delayed revascularisation	death at 12 months	67%	20% (4% to 34%)	7 (4 to 41)