Research Priorities in Critical Care Cardiology: JACC Expert Panel

P. Elliott Miller*, Kurt Huber, Erin A. Bohula, Konstantin A. Krychtiuk, Janine Pöss, Robert O. Roswell, Guido Tavazzi, Michael A. Solomon, Steen D. Kristensen, David A. Morrow, ACC's Critical Care Cardiology Member Section and the ESC Association for Acute CardioVascular Care

*Corresponding author for this work

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperReviewResearchpeer-review

Abstract

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.

Original languageEnglish
JournalJournal of the American College of Cardiology
Volume82
Issue24
Pages (from-to)2329-2337
Number of pages9
ISSN0735-1097
DOIs
Publication statusPublished - Dec 2023

Keywords

  • cardiac intensive care unit
  • mechanical circulatory support
  • research methods
  • shock

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