Marcos Mangas, MartaLópez Sobrino, TeresaAriza Solé, AlbertRueda Sobella, FerranSanz Girgas, EstherAboal, JaimePastor, PabloBuera, IreneSionis, AlessandroAndrea Riba, RutRodríguez López, JuditTomas, CarlosBañeras, JordiLlaó, IsaacSánchez Salado, Jose CarlosGarcí García, CosmeGrup de Treball de Cures Agudes Cardiològiques Societat Catalana de Cardiologia2025-10-152025-10-152025-09-092297‑055Xhttps://hdl.handle.net/2445/223656Background We aimed to analyze the impact of socioeconomic status (SES) on management and in-hospital outcomes of patients with cardiogenic shock (CS).Methods This was a prospective observational registry conducted (December 2018-November 2019) in Intensive Cardiac Care Units (ICCU) across 8 tertiary care centers. Consecutive patients aged >= 18 years with a primary diagnosis of cardiogenic shock were included. SES was defined using a numerical index that incorporates mean income levels, premature mortality, and avoidable hospitalizations observed within a specific health area. SES values were categorized into tertiles. In-hospital procedures, complications, length of stay, and in-hospital mortality were collected.Results A total of 382 patients were included (mean age: 65.3 years). There were no differences in age, sex, or major comorbidities across SES groups. CS was more frequently due to acute coronary syndrome (ACS) in patients with low SES (66.9% vs. 58%, p = 0.022). No significant differences were observed regarding SCAI stage or other severity markers of CS across SES groups. Patients with low SES were more likely to receive pulmonary artery catheterization (p = 0.029) and mechanical circulatory support (p = 0.038). After adjusting for potential confounders, clinical management was similar regardless SES. Lower SES patients exhibited a higher incidence of bleeding (p = 0.018). There were no differences in length of stay or in-hospital mortality among SES groups.Conclusions Beyond a higher rate of ACS-related CS, patients with low SES exhibited a clinical profile and shock severity comparable to other SES groups. Therapeutic management aligned with guideline recommendations even in patients with low SES.8 p.application/pdfengcc-by (c) Marcos Mangas, Marta et al., 2025http://creativecommons.org/licenses/by/3.0/es/Condicions econòmiquesMalalts cardíacsInfart de miocardiEconomic conditionsCardiac patientsMyocardial infarctioninfo:eu-repo/semantics/article2025-10-14info:eu-repo/semantics/openAccess40994919