Key points:
•Changing demographic patterns and emerging critical care technologies have transformed coronary care units (CCUs) into comprehensive cardiac intensive care units (CICUs).
•There has been a progressive decline in the proportion of CICU admissions with acute coronary syndromes (particularly ST-segment elevation myocardial infarctions) and a progressive increase in the proportion with heart failure and noncardiac primary diagnoses.
•The epidemiology of shock in contemporary CICUs is varied, with an increasing prevalence of heart failure-related cardiogenic shock.
•There is substantial inter-hospital variation in the use of CICU technologies, such as temporary mechanical circulatory support, underscoring the need for more CICU-based randomized trials, and the opportunity to standardize best practices.
•The increasing complexity of conditions managed in the modern CICU has prompted changes in organizational structure, staffing models, and training pathways.
Read the full text here: https://www.sciencedirect.com.acs.hcn.com.au/science/article/pii/S074907042300074X
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