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Comment & Response |

Redesigning Care for Patients With Acute Myocardial Infarction Complicated by Cardiogenic Shock—Reply

Vakhtang Tchantchaleishvili, MD1; William Hallinan, RN, MS1; H. Todd Massey, MD1
[+] Author Affiliations
1Division of Cardiac Surgery, University of Rochester Medical Center, Rochester, New York
JAMA Surg. 2016;151(7):685-686. doi:10.1001/jamasurg.2015.5498.
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In Reply In their comments on our recent Viewpoint,1 Garan et al and Fiedler et al have highlighted the institutional commitment needed to provide timely and comprehensive care for patients with acute myocardial infarction with cardiogenic shock (AMICS). Indeed, a 24/7 multidisciplinary “Shock Team” should be an integral part of level I centers of regionalized AMICS care, similar to trauma teams at level I trauma centers.2 It would be appropriate for professional and academic organizations to develop a framework for these teams as part of the desired format of accreditation of level I AMICS centers.


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July 1, 2016
Arthur Reshad Garan, MD; Ajay Kirtane, MD, SM; Hiroo Takayama, MD, PhD
1Division of Cardiology, Department of Medicine, Columbia University, New York, New York
2Division of Cardiothoracic Surgery, Department of Surgery, Columbia University, New York, New York
JAMA Surg. 2016;151(7):684-685. doi:10.1001/jamasurg.2015.5514.
July 1, 2016
Amy G. Fiedler, MD; Tae H. Song, MD; David A. D’Alessandro, MD
1Division of Cardiac Surgery, Department of Surgery, Massachusetts General Hospital, Boston
JAMA Surg. 2016;151(7):685. doi:10.1001/jamasurg.2015.5517.
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