April 30, 2021 Two new studies document the progress that’s been made in creating a consistent approach to cardiogenic shock care, and point to new directions as the field evolves. Both were released this week in a late-breaking session of the Society for Cardiovascular Angiography and Interventions (SCAI) 2021 virtual meeting. Jacob Jentzer, MD (Mayo Clinic, Rochester, MN), presented pooled data confirming that SCAI’s classification system for shock severity tracks closely with mortality risk. Babar Basir, DO (Henry Ford Health System, Detroit, MI), shared final results from the National Cardiogenic Shock Initiative (NCSI) showing that an algorithm emphasizing early use of mechanical circulatory support can offer better survival for patients with acute MI complicated by cardiogenic shock (AMICS).