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August 25, 2025Catheterization and Cardiovascular InterventionsOpen Access

Prevalence and Prognostic Impact of Coronary Chronic Total Occlusions in Patients With Cardiogenic Shock

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Authors

MBMichael BehnesMSMoritz SchmidbergerGVGiuseppe Vadalà

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Overview

Observational analysis shows CTO linked to 30-day mortality in patients with cardiogenic shock, highlighting need for risk assessment.

Key Points

  • Presence of chronic total occlusions increases 30-day mortality to 70.2%, compared to 47.6% for non-CTO patients.
  • Older patients (median age 78) present more frequently with chronic total occlusions than younger counterparts.
  • Invasive coronary angiography revealed chronic total occlusions in 24% of patients admitted with cardiogenic shock from 2019 to 2021.
  • Multivariable adjustment confirms chronic total occlusions as an independent predictor of mortality, indicating a serious risk factor.

Cite This Study

Behnes et al. (2025) studied this question.

synapsesocial.com/papers/68af7df87567bf4f94ff50aahttps://doi.org/10.1002/ccd.70116
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Coronary Chronic Total Occlusions Affect Long‐Term Prognosis in Heart Failure With Mildly Reduced Ejection Fraction2025
  2. 2Long‐Term Follow‐up After Percutaneous Coronary Interventions for Chronic Total Occlusions2026
  3. 3Predictive factors and clinical outcomes following successful contemporary percutaneous coronary interventions for chronic total occlusions2025
  4. 4Non-invasive multiparametric evaluation of patients with chronic total occlusions compared with single-photon emission computed tomography results2026
  5. 5Current Perspectives on Coronary Chronic Total Occlusions2012 · 809 citations