Criteria for the diagnosis of cardiogenic shock—European perspective: A Clinical Consensus Statement of the Association for Acute CardioVascular Care, the Heart Failure Association, and the European Association of Percutaneous Cardiovascular Interventions of the ESC

European Heart Journal - Acute CardioVascular Care

29 August 2026
Organised by: Logo
ESC Journals CORONARY ARTERY DISEASE, ACUTE CORONARY SYNDROMES, ACUTE CARDIAC CARE Acute Cardiac Care Acute Coronary Syndromes HEART FAILURE Acute Heart Failure Interventional Cardiology

Abstract

Abstract

Cardiogenic shock is a complex clinical syndrome with a high mortality risk. As heterogeneity of patient presentation is high and diagnosis not standardized, a timely diagnosis and thus initiation of treatment are oftentimes not achieved, further worsening the prognosis of affected patients. We therefore propose standardized criteria for the diagnosis of cardiogenic shock, based on three essential pillars: (i) an evidence of end-organ hypoperfusion at rest, (ii) which is primarily caused by haemodynamic abnormalities and a direct consequence of (iii) an underlying cardiac dysfunction commensurate with the state of shock.

Contributors

Hoong Sern Lim
Hoong Sern Lim

Author

Queen Elizabeth Hospital Birmingham Birmingham , United Kingdom of Great Britain & Northern Ireland

Christian Hassager
Christian Hassager

Author

Rigshospitalet - Copenhagen University Hospital Copenhagen , Denmark

Ovidiu Chioncel
Ovidiu Chioncel

Author

Oslo University Hospital Rikshospitalet Oslo , Norway

Matteo Pagnesi
Matteo Pagnesi

Author

ASST Spedali Civili Brescia , Italy

Maja Cikes
Maja Cikes

Author

University Hospital Centre Zagreb Zagreb , Croatia

Alessandro Sionis
Alessandro Sionis

Author

Hospital de la Santa Creu i Sant Pau Barcelona , Spain

Mario Iannaccone
Mario Iannaccone

Author

Torino North Emergency San Giovanni Bosco Turin , Italy

Benedikt Schrage
Benedikt Schrage

Author

The University Medical Center Hamburg-Eppendorf Hamburg , Germany