Emergency culprit-vessel revascularization for ACS with cardiogenic shock — ACC/AHA · 2025 recommendation
2025 ACC/AHA acute coronary syndromes guideline
For ACS with cardiogenic shock or haemodynamic instability, emergency culprit-vessel revascularization by PCI or CABG is recommended regardless of symptom-to-treatment interval.
Class of Recommendation
Class 1
Level of Evidence
Level B-R
Last source-check date
2026-08-23
Exact source location
Section 8.1, ‘Revascularization in ACS With Cardiogenic Shock’, recommendation 1, pp. e815
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- Last source-check date
- 2026-08-23
- Second-review status
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Verification status & editorial record
Status: Prepared source record — reviewer provenance not documented.
Last source-check: 2026-08-23
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Verification boundary: This concise reference is limited to a prepared source recommendation. Verify the official document, local protocol, and patient context before application.