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Comment & Response
July 2016

Redesigning Care for Patients With Acute Myocardial Infarction Complicated by Cardiogenic Shock—Reply

Author Affiliations
  • 1Division of Cardiac Surgery, University of Rochester Medical Center, Rochester, New York
JAMA Surg. 2016;151(7):685-686. doi:10.1001/jamasurg.2015.5498

In Reply In their comments on our recent Viewpoint,1 Garan et al and Fiedler et al have highlighted the institutional commitment needed to provide timely and comprehensive care for patients with acute myocardial infarction with cardiogenic shock (AMICS). Indeed, a 24/7 multidisciplinary “Shock Team” should be an integral part of level I centers of regionalized AMICS care, similar to trauma teams at level I trauma centers.2 It would be appropriate for professional and academic organizations to develop a framework for these teams as part of the desired format of accreditation of level I AMICS centers.