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Enrolling patients in cardiogenic shock trials: are we missing someone? Insights from the Italian AltShock‐2 registry

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Trials in cardiogenic shock are difficult to perform because of challenges in recruitment: logistics play a role (time-dependent disease) but informed consent is the most complex step; slowness of enrolment… Click to show full abstract

Trials in cardiogenic shock are difficult to perform because of challenges in recruitment: logistics play a role (time-dependent disease) but informed consent is the most complex step; slowness of enrolment calls for multicentre international consortia to optimize their flow. Yet, the average duration of cardiogenic shock trials is extremely long: DanGer Shock (NCT0 1 633502) started in 20 1 2 and subsequently included centres from Ger-many to fasten enrolment which is now (after 1 0years) almost to be achieved. 1 This phenomenon is not marginal as such a long period might encompass major changes in milestones of therapy around the primary intervention which might significantly impact the clinical practice and the expected results: this would eventually produce an impact on study size and inconclusive findings. in cardiogenic to or show consent

Keywords: enrolling patients; shock trials; patients cardiogenic; shock; trials missing; cardiogenic shock

Journal Title: European Journal of Heart Failure
Year Published: 2022

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