Modern Cardiac ICU Care Delivery and the Role of the Cardiac ICU Cardiologist

作者：Alexander Papolos, Samuel B. Brusca, Christopher F. Barnett, Benjamin B. Kenigsberg, Robert O. Roswell, Michael A. Solomon, Alejandra Gutierez, Ran Lee, Rosy Thachil, Jason N. Katz, Eugene Yuriditsky, Sunit‐Preet Chaudhry, Padmaraj Duvvuri, Bram J. Geller, Jacob C. Jentzer · 发表于：JACC Advances · 年份：2025 · DOI：10.1016/j.jacadv.2025.102372 · 被引用次数：3 · 研究领域：Sepsis Diagnosis and Treatment、Mechanical Circulatory Support Devices、Acute Myocardial Infarction Research

BACKGROUND: The cardiac intensive care unit (CICU) has evolved into a complex care environment for critically ill patients with cardiac and noncardiac diseases. OBJECTIVES: Our goal was to describe contemporary CICU care delivery and the role of cardiologists therein. METHODS: The American College of Cardiology administered a 42-item survey to U.S. and Canadian CICU-focused cardiologists designed to capture models of care delivery and workforce demographics. RESULTS: The survey was distributed by email to 1,085 U.S. and Canadian CICU cardiologists. The response rate was 20%, yielding a final sample of 166 after excluding trainees and those not board-certified or board-eligible in cardiology. The majority were from medium (34%) or large (64%) academic (81%) medical centers. Fifty-three percent reported working in high-intensity care models and 61% reported that their CICU was dedicated exclusively to medical cardiology patients. Critical care medicine-boarded physicians contributed to care through consultative (53%), comanagement (29%), and/or primary roles (44%). Subspecialization beyond cardiology was common (82%), with critical care medicine being most frequent (46%), followed by echocardiography (37%), advanced heart failure (21%), and interventional cardiology (16%). Limitations include the low survey response rate, which raises the risk of selection bias. CONCLUSIONS: This study provides insight into the current landscape of cardiac critical care delivery in North Americ...