CClinicalTrials.gg
RecruitingNCT04682483CSWGUpdated Jun 6, 2025

Cardiogenic Shock Working Group Registry

An observational study in Cardiogenic Shock, sponsored by Tufts Medical Center. Recruiting at 16 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-06-06.

Sponsored by Tufts Medical Center · Observational

From the registry’s dates

  • Primary completion was expected by Jan 2026, 9 months ago, but the record still lists the study as recruiting.
  • Started Dec 2017; still recruiting 8 years 10 months later.
Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
5,000
Ages
18 Years and older
Sex
All
01

Study summary

The Cardiogenic Shock Working Group is a multicenter registry where we collect de-identified clinical variables from the medical records and follow-up phone calls of shock patients from multiple institutions and centralize this data to a single registry for analysis of clinical outcomes.

Read the detailed description

The Cardiogenic Shock Working Group is an Academic Research Consortium involving multiple medical centers within the United States and includes a multicenter registry for patients with cardiogenic shock. De-identified clinical variables are collected from medical records and follow-up phone calls. There is currently no central database for cardiogenic shock, therefore analysis of cardiogenic shock on a larger scale is limited. A goal of the Cardiogenic Shock Working Group is to create a centralized registry, compiled of data from multiple institutions, to analyze clinical outcomes. The Cardiogenic Shock Working Group Registry will include a retrospective arm, where data is collected during the course of the hospital stay, and a prospective arm, where long-term outcomes will be assessed.

02

Conditions studied

  • Cardiogenic Shock

Keywords

  • Cardiogenic Shock
  • mechanical circulatory support
  • hemodynamics
  • heart failure
  • acute myocardial infarction
  • registry
  • critical care
  • clinical outcomes research
03

In context

Shock, Cardiogenic

277 studies on the registry are indexed under Shock, Cardiogenic; 127 are open to participants now.

This study's planned enrollment of 5,000 is above the median of 200 across 142 observational studies indexed under Shock, Cardiogenic.

Browse Shock, Cardiogenic studies →

Lead sponsor

Tufts Medical Center is the lead sponsor of 194 studies on the registry; 28 are open to participants now.

Of its 30 completed or terminated interventional studies of FDA-regulated products, 16 (53%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

People who are 18 or older who have an official diagnosis of cardiogenic shock.

Eligibility criteria

Inclusion Criteria:

  • Patients must have cardiogenic shock.

Cardiogenic shock is defined by at least one of the two categories below:

  1. At least 2 of the following concurrently at any point during the index hospitalization:

    • Cardiac Index \< 2.2
    • PAPI \< 1.0
    • Cardiac Power Output ≤ 0.6
    • MAP \< 60mmHg or a >30mmHg drop in MAP from baseline
    • SBP \< 90mmHg or a >30mmHg drop in SBP from baseline
    • Pulse > 100
  2. Require at least one acute mechanical circulatory support device, vasopressor or inotrope to maintain values above the above target.

Post-cardiotomy patients must meet the inclusion criteria 72 hours after their surgery to be included in this registry.

05

Study design

Observational model
Cohort
Time perspective
Other
Enrollment
5,000 participants (estimated)
Target follow-up
1 Year
Patient registry
Yes

Groups and cohorts

  • Cardiogenic Shock Patients

    Cardiogenic Shock patients eligible for this study are defined by at least one of the two categories below. 1. Patients have at least 2 of the following concurrently at any point during the index hospitalization: MAP \< 60mmHg or a \>30mmHg drop in MAP from baseline, SBP \< 90mmHg or a \>30mmHg drop in SBP from baseline, Pulse \> 100, Cardiac Index \< 2.2, Cardiac Power Output ≤ 0.6 or PAPI \< 1.0. 2. Patients require the use of at least 1 vasopressor, inotrope or acute mechanical circulatory support device to maintain values above the above targets.

    Drug: Vasopressor · Drug: Inotrope · Device: Acute Mechanical Circulatory Support Devices

Interventions

  • DrugVasopressor

    The vasopressors include phenylephrine, norepinephrine, epinephrine, dopamine and vasopressin.

  • DrugInotrope

    Inotropes include dobutamine and milrinone.

  • DeviceAcute Mechanical Circulatory Support Devices

    Acute Mechanical Circulatory Support devices include ECMO (VV), ECMO (VA), Impella CP, Impella 2.5, Impella 5.0, Impella 5.5, Impella RP, IABP, Centrimag, Tandem Heart and ProTek Duo.

06

What researchers measure

Primary outcomes

  1. Rate of Mortality

    Death in subjects during the time frame.

    Time frame: 30 days after discharge

  2. Rate of Mortality

    Death in subjects during the time frame.

    Time frame: 1 year after discharge

Secondary outcomes

  1. Rate of Re-hospitalization

    We will be observing if patient was hospitalized again during the 1 year-time frame. We will collect information on surgeries and interventions during the course of rehospitalization.

    Time frame: 30 day after discharge

  2. Rate of Re-hospitalization

    We will be observing if patient was hospitalized again during the 1 year-time frame. We will collect information on surgeries and interventions during the course of rehospitalization.

    Time frame: 1 year after discharge

  3. New York Heart Association (NYHA) Class

    NYHA Classification provides a way to classify the stages of heart failure. Class I- No symptoms and no limitation in ordinary physical activity Class II- Mild symptoms (mild shortness of breath and/or angina) and slight limitation during ordinary activity Class III - Marked limitation in activity due to symptoms, even during less-than-ordinary activity Class IV - Severe limitations

    Time frame: 30 day after discharge

  4. New York Heart Association (NYHA) Class

    NYHA Classification provides a way to classify the stages of heart failure. Class I- No symptoms and no limitation in ordinary physical activity Class II- Mild symptoms (mild shortness of breath and/or angina) and slight limitation during ordinary activity Class III - Marked limitation in activity due to symptoms, even during less-than-ordinary activity Class IV - Severe limitations

    Time frame: 1 year after discharge

07

Study locations

16 of 16 sites recruiting
  • Cleveland Clinic Florida
    Weston, Florida 33331, United States
    • Jaime Hernandez-Montfort, MD MPH · Contact
    • Jaime Hernandez-Montfort, MD MPH · Principal investigator
    Recruiting
  • Northwestern Medicine
    Chicago, Illinois 60611, United States
    • Esther Vorovich, MD · Contact
    • Esther Vorovich · Principal investigator
    Recruiting
  • University of Chicago
    Chicago, Illinois 60612, United States
    • Sandeep Nathan, MD · Contact
    • Sandeep Nathan, MD · Principal investigator
    Recruiting
  • Maine Medical Center
    Portland, Maine 04102, United States
    • Andrew Schwartzman, MD · Contact
    • Andrew Schwartzman, MD · Principal investigator
    Recruiting
  • Tufts Medical Center
    Boston, Massachusetts 02111, United States
    Recruiting
  • Beth Israel Deaconess Medical Center
    Boston, Massachusetts 02215, United States
    • Arthur R Garan · Contact
    • Arthur R Garan, MD · Principal investigator
    Recruiting
  • Hackensack Meridian Health
    Hackensack, New Jersey 07601, United States
    • Haroon Faraz, MD · Contact
    • Haroon Faraz, MD · Principal investigator
    Recruiting
  • Columbia University Irving Medical Center
    New York, New York 10032, United States
    • Justin Fried, MD · Contact
    • Justin Fried, MD · Principal investigator
    Recruiting
  • Providence St. Vincent Heart Clinic
    Portland, Oregon 97225, United States
    • Jacob Abraham, MD · Contact
    • Jacob Abraham, MD · Principal investigator
    Recruiting
  • Allegheny General Hospital
    Pittsburgh, Pennsylvania 15212, United States
    • Manreet Kanwar, MD · Contact
    • Manreet Kanwar, MD · Principal investigator
    Recruiting
  • University Of Pittsburgh Medical Center
    Pittsburgh, Pennsylvania 15261, United States
    • Gavin Hickey, MD · Contact
    • Gavin Hickey, MD · Principal investigator
    Recruiting
  • Baylor Scott & White Advanced Heart Failure Clinic
    Dallas, Texas 75201, United States
    • Detlef Wencker, MD · Contact
    • Detlef Wencker, MD · Principal investigator
    Recruiting
  • University of Texas Medical Branch
    Galveston, Texas 77555, United States
    • Wissam Khalife, MD · Contact
    • Wissam Khalife · Contact
    Recruiting
  • Houston Methodist Hospital
    Houston, Texas 77030, United States
    • : Ju H Kim, MD · Contact
    • Ju H Kim, MD · Principal investigator
    Recruiting
  • Inova Health System
    Falls Church, Virginia 22042, United States
    • Shashank Sinha, MD, MSc · Contact
    • Shashank Sinha, MD, MSc · Principal investigator
    Recruiting
  • University of Washington Medical Center
    Seattle, Washington 98195-9472, United States
    • Claudius Mahr, DO · Contact
    • Claudius Mahr, DO · Principal investigator
    Recruiting
08

References and documents

Publications

  • Kapur NK, Thayer KL, Zweck E. Cardiogenic Shock in the Setting of Acute Myocardial Infarction. Methodist Debakey Cardiovasc J. 2020 Jan-Mar;16(1):16-21. doi: 10.14797/mdcj-16-1-16. PubMed 32280413 ↗
  • Pahuja M, Chehab O, Ranka S, Mishra T, Ando T, Yassin AS, Thayer KL, Shah P, Kimmelstiel CD, Salehi P, Kapur NK. Incidence and clinical outcomes of stroke in ST-elevation myocardial infarction and cardiogenic shock. Catheter Cardiovasc Interv. 2021 Feb 1;97(2):217-225. doi: 10.1002/ccd.28919. Epub 2020 Apr 30. PubMed 32352638 ↗
  • Thayer KL, Zweck E, Ayouty M, Garan AR, Hernandez-Montfort J, Mahr C, Morine KJ, Newman S, Jorde L, Haywood JL, Harwani NM, Esposito ML, Davila CD, Wencker D, Sinha SS, Vorovich E, Abraham J, O'Neill W, Udelson J, Burkhoff D, Kapur NK. Invasive Hemodynamic Assessment and Classification of In-Hospital Mortality Risk Among Patients With Cardiogenic Shock. Circ Heart Fail. 2020 Sep;13(9):e007099. doi: 10.1161/CIRCHEARTFAILURE.120.007099. Epub 2020 Sep 9. PubMed 32900234 ↗
  • Whitehead E, Thayer K, Kapur NK. Clinical trials of acute mechanical circulatory support in cardiogenic shock and high-risk percutaneous coronary intervention. Curr Opin Cardiol. 2020 Jul;35(4):332-340. doi: 10.1097/HCO.0000000000000751. PubMed 32487943 ↗
  • Kapur NK, Whitehead EH, Thayer KL, Pahuja M. The science of safety: complications associated with the use of mechanical circulatory support in cardiogenic shock and best practices to maximize safety. F1000Res. 2020 Jul 29;9:F1000 Faculty Rev-794. doi: 10.12688/f1000research.25518.1. eCollection 2020. PubMed 32765837 ↗
  • Garan AR, Kanwar M, Thayer KL, Whitehead E, Zweck E, Hernandez-Montfort J, Mahr C, Haywood JL, Harwani NM, Wencker D, Sinha SS, Vorovich E, Abraham J, O'Neill W, Burkhoff D, Kapur NK. Complete Hemodynamic Profiling With Pulmonary Artery Catheters in Cardiogenic Shock Is Associated With Lower In-Hospital Mortality. JACC Heart Fail. 2020 Nov;8(11):903-913. doi: 10.1016/j.jchf.2020.08.012. PubMed 33121702 ↗
  • Whitehead EH, Thayer KL, Burkhoff D, Uriel N, Ohman EM, O'Neill W, Kapur NK. Central Venous Pressure and Clinical Outcomes During Left-Sided Mechanical Support for Acute Myocardial Infarction and Cardiogenic Shock. Front Cardiovasc Med. 2020 Aug 28;7:155. doi: 10.3389/fcvm.2020.00155. eCollection 2020. PubMed 33005634 ↗
  • Pahuja M, Ranka S, Chehab O, Mishra T, Akintoye E, Adegbala O, Yassin AS, Ando T, Thayer KL, Shah P, Kimmelstiel CD, Salehi P, Kapur NK. Incidence and clinical outcomes of bleeding complications and acute limb ischemia in STEMI and cardiogenic shock. Catheter Cardiovasc Interv. 2021 May 1;97(6):1129-1138. doi: 10.1002/ccd.29003. Epub 2020 May 30. PubMed 32473083 ↗
  • Hernandez-Montfort J, Kanwar M, Sinha SS, Garan AR, Blumer V, Kataria R, Whitehead EH, Yin M, Li B, Zhang Y, Thayer KL, Baca P, Dieng F, Harwani NM, Guglin M, Abraham J, Hickey G, Nathan S, Wencker D, Hall S, Schwartzman A, Khalife W, Li S, Mahr C, Kim J, Vorovich E, Pahuja M, Burkhoff D, Kapur NK. Clinical Presentation and In-Hospital Trajectory of Heart Failure and Cardiogenic Shock. JACC Heart Fail. 2023 Feb;11(2):176-187. doi: 10.1016/j.jchf.2022.10.002. Epub 2022 Oct 31. PubMed 36342421 ↗
  • Kapur NK, Kanwar M, Sinha SS, Thayer KL, Garan AR, Hernandez-Montfort J, Zhang Y, Li B, Baca P, Dieng F, Harwani NM, Abraham J, Hickey G, Nathan S, Wencker D, Hall S, Schwartzman A, Khalife W, Li S, Mahr C, Kim JH, Vorovich E, Whitehead EH, Blumer V, Burkhoff D. Criteria for Defining Stages of Cardiogenic Shock Severity. J Am Coll Cardiol. 2022 Jul 19;80(3):185-198. doi: 10.1016/j.jacc.2022.04.049. PubMed 35835491 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 6, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04682483
Lead sponsor
Tufts Medical Center
Collaborators
Abbott, Boston Scientific Corporation, Abiomed Inc., Getinge Group
Responsible party
Sponsor
First posted
Dec 23, 2020
Start date
Dec 4, 2017
Primary completion
Jan 1, 2026 (estimated)
Completion
Jun 1, 2026 (estimated)
Last update
Jun 6, 2025

Study contacts

Navin K Kapur, MD
Contact
nkapur@tuftsmedicalcenter.org
6176368252
Reshad Garan, MD
study director · Beth Israel Deaconess Medical Center
Claudius Mahr, DO
study director · University of Washington
Jaime Hernandez-Montfort, MD
study director · Cleveland Clinic Foundation-Florida
Daniel Burkhoff, MD PhD
study director · CardioVascular Research Foundation

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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