CCU’S can also save patients with cardiogenic shock
Many of us would say ” never” or some may say “rarely” but in reality the answer is “yes it can ” slightly lower than Primary PCI . One could save atleast few lives every month by intensive medical management alone (Inotrope, vasodilator,pacing if needed ) in any coronary care unit.
So the message here is, not offering or doing a primary PCI in a patient with cardiogenic shock is not synonymous with inferior treatment or death. After all, in the much hyped SHOCK trial a significant no of patients survived in medical limb .
Dr.S.Venkatesan MD 
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