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. Author manuscript; available in PMC: 2024 Dec 12.
Published in final edited form as: J Am Coll Cardiol. 2023 Dec 12;82(24):2329–2337. doi: 10.1016/j.jacc.2023.09.828

Table 1.

Broad areas and specific topics in critical care cardiology research

Broad Area Specific Topics
Hemodynamic Monitoring
PAC use in cardiogenic shock
Non-invasive hemodynamics devices
Evidenced based use of POCUS
Respiratory Management
Strategies to avoid invasive mechanical ventilation
Efficacy and safety of alternative ventilatory modes and settings
Heart-lung interactions with positive pressure ventilation
Optimal extubation strategies
Sedation and analgesia for mechanical ventilation
Arterial oxygen and carbon dioxide targets for cardiac patients
Acute Arrhythmias
Ventricular tachycardia storm management
Acute treatment of rapid atrial fibrillation
Medical management of unstable bradyarrhythmias
Prognostication/Advanced Phenotyping
Appropriateness criteria for triage to the CICU
Risk prediction across various diagnoses, (e.g., acute heart failure, cardiogenic shock, cardiac arrest)
Neuroprognostication after cardiac arrest
Deep phenotyping to tailor therapies (e.g., cardiogenic shock type to tailored medical or mechanical therapy)
Application of biomarkers and proteomics for prognostication
Identifying futility to better counsel patients/families
Quantifying the impact of frailty on outcomes and response to therapies
Selection of patients for transfer to advanced care centers
Timing of palliative care involvement
Cardiogenic Shock
Improving medical management paradigms
Identifying evidence-based approaches to and selection of MCS
Optimal hemodynamic targets (e.g., mean arterial pressure)
Management of acute and chronic right ventricular failure
Strategies for identifying and managing mixed shock
Mitigation of device complications
Venting strategies for ECMO
Cardiac Arrest
Post-cardiac arrest management (e.g., temperature targets)
Strategies to optimize ECMO for cardiopulmonary resuscitation
CCC Education/Staffing
Delineation of the skills and training for CICU practitioners
Appropriate staffing models stratified by CICU level
Renal Management
Identification and treatment of cardiorenal syndrome
Timing and modes of renal replacement therapy in cardiac patients
Research Methods
Methods and strategies for implementation of structured severity staging within registries and clinical trials
Applications of artificial intelligence in the data rich CICU
Ethical and efficient informed consent in CCC research
Implementation of novel and pragmatic trial designs, including Bayesian adaptive designs, registry and EHR-based studies
Post-Cardiotomy Critical Care

PAC = Pulmonary artery catheter; POCUS = Point-of-care ultrasound; CICU = Cardiac intensive care unit; MCS = Mechanical circulatory support; ECMO = Extracorporeal membrane oxygenation; CCC = Critical care cardiology; EHR = Electronic heath record