CSWG App 5.1

Navin Kapur – Freeware – iOS
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The CSWG App offers a comprehensive suite of tools divided into three key components, each contributing valuable calculators to support clinical decision-making.

Part 1: Cardiogenic Shock Working Group Shock Stage Calculator The initial section of the app showcases the Cardiogenic Shock Working Group Shock Stage Calculator. This tool employs the CSWG-SCAI shock stage classification system to ascertain the severity of cardiogenic shock. It furnishes a precise evaluation of shock stages, accompanied by corresponding mortality rates for each stage. Furthermore, this calculator delivers distinct mortality predictions for myocardial infarction-related cardiogenic shock (MI-CS) and heart failure-related cardiogenic shock (HF-CS), along with a forecasted probability of stage escalation.

Part 2: Invasive Hemodynamics Calculator The subsequent segment encompasses the Invasive Hemodynamics Calculator, empowering healthcare professionals to compute various significant parameters related to hemodynamics. Users can utilize this calculator to determine metrics like cardiac output via the Fick method, cardiac index, cardiac power output, cardiac power index, pulse pressure, aortic pulsatility index, systemic vascular resistance, mean pulmonary artery pressure, right atrial pressure/pulmonary capillary wedge pressure, pulmonary artery pulsatility index, right ventricular stroke work index, transpulmonary gradient, and diastolic pulmonary gradient. Additionally, the tool generates a graphical representation plotting left heart filling pressure (PCWP) against right heart filling pressure (CVP or RAP) to aid in parameter classification into categories like "LV congestion," "RV congestion," "Hypovolemic," and "BiV Congestion."

Part 3: Congestion Profile Tracking This feature allows for plotting of left heart filling pressure (PCWP) and right heart filling pressure (CVP or RAP) longitudinally to visualize trends over time.

Part 4: CSWG-SCAI Shock Phenotype Calculator The final segment hosts the CSWG-SCAI Shock Phenotype Calculator. Specifically crafted to identify shock phenotypes based on defined characteristics and clinical cues, this tool categorizes shock phenotypes into phenotype I (non-congested), phenotype II (cardio-renal), and phenotype III (cardiometabolic). Furthermore, it delivers predicted in-hospital mortality rates for each phenotype, supporting clinicians in risk stratification and treatment strategies.

The CSWG App for iOS consolidates fundamental calculators and predictive functions within an intuitive interface, offering a valuable asset to healthcare professionals navigating the complexities of cardiogenic shock management. By facilitating precise assessments, offering insights into hemodynamics, and aiding in the identification of shock phenotypes, this application aims to enhance patient care and outcomes within the challenging realm of cardiogenic shock. It is essential to note that this app solely presents data from published literature and should not replace clinical judgment. Treating clinicians or teams must rely on their expertise and experience in clinical decision-making.

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