Abstract

Introduction: Cardiogenic shock (CS) is a state of tissue hypoperfusion and circulatory failure that can evolve with multiple organ dysfunction and death. The most common cause, responsible for 80% of cases is acute myocardial infarction (AMI). Despite therapeutic advances, its occurrence is still a predictor of a high mortality rate between 35% and 40%. Objective: To study the hospital mortality profile of cardiogenic shock in Brazil from 2011 to 2020. Methodology: This is an ecological study design of cardiogenic shock in Brazil. We analyzed a secondary data from the Department of Informatics of the SUS (DATASUS). Results: The results showed n=9572 deaths from CS were reported between 2011 and 2020. Despite fluctuations over the years, there was a substantial increase in the number of deaths and mortality rates during this decade. Most deaths occurred in the elderly (76.48%), men (51%) and Caucasians (n=49%). Regarding the regions, the Southeast leads with the highest absolute number (n = 6160), but the Northeast had the highest mortality rate throughout the period. Conclusion: Despite medical advances in cardiology care, CS is a condition with high levels of mortality. Due to the potential severity and lethality, early recognition and adequate management of this pathology are essential. It also highlights the importance of carrying out studies that include less developed regions such as the Northeast, so that they are priorities in public health interventions.

Keywords

shock cardiogenic, epidemiology, hospital mortality