TY - JOUR
T1 - Research Priorities in Critical Care Cardiology
T2 - JACC Expert Panel
AU - Miller, P. Elliott
AU - Huber, Kurt
AU - Bohula, Erin A.
AU - Krychtiuk, Konstantin A.
AU - Pöss, Janine
AU - Roswell, Robert O.
AU - Tavazzi, Guido
AU - Solomon, Michael A.
AU - Kristensen, Steen D.
AU - Morrow, David A.
AU - ACC's Critical Care Cardiology Member Section and the ESC Association for Acute CardioVascular Care
N1 - Publisher Copyright:
© 2023 American College of Cardiology Foundation
PY - 2023/12
Y1 - 2023/12
N2 - Over the last several decades, the cardiac intensive care unit (CICU) has seen a substantial evolution in the patient population, comorbidities, and diagnoses. However, the generation of high-quality evidence to manage these complex and critically ill patients has been slow. Given the scarcity of clinical trials focused on critical care cardiology (CCC), CICU clinicians are often left to extrapolate from studies that either exclude or poorly represent the patient population admitted to CICUs. The lack of high-quality evidence and limited guidance from society guidelines has led to significant variation in practice patterns for many of the most common CICU diagnoses. Several barriers, both common to critical care research and unique to CCC, have impeded progress. In this multinational perspective, we describe key areas of priority for CCC research, current challenges for investigation in the CICU, and essential elements of a path forward for the field.
AB - Over the last several decades, the cardiac intensive care unit (CICU) has seen a substantial evolution in the patient population, comorbidities, and diagnoses. However, the generation of high-quality evidence to manage these complex and critically ill patients has been slow. Given the scarcity of clinical trials focused on critical care cardiology (CCC), CICU clinicians are often left to extrapolate from studies that either exclude or poorly represent the patient population admitted to CICUs. The lack of high-quality evidence and limited guidance from society guidelines has led to significant variation in practice patterns for many of the most common CICU diagnoses. Several barriers, both common to critical care research and unique to CCC, have impeded progress. In this multinational perspective, we describe key areas of priority for CCC research, current challenges for investigation in the CICU, and essential elements of a path forward for the field.
KW - cardiac intensive care unit
KW - mechanical circulatory support
KW - research methods
KW - shock
UR - http://www.scopus.com/inward/record.url?scp=85178194531&partnerID=8YFLogxK
U2 - 10.1016/j.jacc.2023.09.828
DO - 10.1016/j.jacc.2023.09.828
M3 - Review
C2 - 38057075
AN - SCOPUS:85178194531
SN - 0735-1097
VL - 82
SP - 2329
EP - 2337
JO - Journal of the American College of Cardiology
JF - Journal of the American College of Cardiology
IS - 24
ER -