Registry for patients with cardiogenic shock
Official title: Cardiogenic Shock: a Prospective National Registry to Get Insights in Patients' Profile, Management and Outcome
Run by Niguarda Hospital · NCT04295252 · Data updated 2026-11-12
This study is collecting information on patients with cardiogenic shock in the hospital to better understand their causes and outcomes, so we can improve their care in the future.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 3000 (estimated) |
| Sponsor | Niguarda Hospital Academic / other |
| Locations | 1 site (Milan) |
| Status | Recruiting |
| Started | July 1, 2020 |
| Main results expected | December 31, 2030 |
| Study ends | December 31, 2031 |
| Registry record updated | May 14, 2026 |
| Trial ID | NCT04295252 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are all patients diagnosed with cardiogenic shock who are hospitalized in the participating centers.
✕Probably not a fit
Patients who do not meet the criteria for cardiogenic shock or are not hospitalized in the participating centers may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The Altshock-2 registry aims to collect and analyze data on patients experiencing cardiogenic shock admitted to Intensive Coronary Care Units. This observational study will focus on understanding the diverse causes, clinical presentations, and outcomes of these patients, particularly as recent evidence suggests that many cases are not related to acute myocardial infarction. By documenting various factors such as aetiology, treatment approaches, and the use of mechanical support devices, the registry seeks to improve clinical phenotyping and inform future care strategies. The study will enroll all consecutive cardiogenic shock patients hospitalized from January 2020 to December 2030.
Why it matters
Potential benefit: If successful, this registry could lead to improved management strategies and outcomes for patients with cardiogenic shock.
How similar studies have gone: Previous registries focusing on acute coronary syndrome have provided valuable insights, but this study aims to explore a broader range of causes for cardiogenic shock, making it a novel approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
All consecutive CS patients hospitalized in the above reported centres between January 2020 and December 2030. Cardiogenic shock is defined as: 1. Systolic blood pressure (SBP) \<90 mmHg or mean arterial pressure (MAP) \<60 mmHg, after an appropriate fluid challenge if there is no sign of overt fluid overload, OR need of vasoactive agents to maintain SBP \> 90 mmHg or MAP \> 60 mmHg, OR need of MCS; 2. At least one of the following criteria/signs of overt hypoperfusion: mixed venous oxygen saturation \<60%; arterial lactates \> 2 mmol/L; oliguria \< 0.5 ml/Kg/h for at least 6 hours.
Where it's running
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ASST GOM Niguarda
Milan, Italy Recruiting
Study contacts
- Study coordinator: Alice Sacco, MD
- Email: alice.saccoi@ospedaleniguarda.it
- Phone: +39026444
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.