This post is the fourth of a series I’ve made for my study notes on Cardiogenic Shock. This post contains a link to the Regionalized Systems Of Care section of Contemporary Management of Cardiogenic Shock: A Scientific Statement From the American Heart Association [PubMed Abstract] [Full Text HTML] [Full Text PDF]. Circulation. 2017 Oct 17;136(16):e232-e268.
The best hope for the patient in cardiogenic shock is prompt recognition of the syndrome with stabilization and then immediate transport (if feasible) to a center that ideally can immediately perform diagnostic cardiac angiopathy, emergency revascularization (PCI or CABG if needed), and mechanical circulatory support (if needed).
The above article convincingly makes that argument with a number points.
Please review Regionalized Systems Of Care for details on this topic. [Link is to this section of the HTML version of the above article.]