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Systolic blood pressure < 90 mmHg, >30 min of inotropic agents and/or vasopressors to keep the blood pressure > 90 mmHg systolic
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Signs of left ventricular failure with pulmonary congestion.
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Signs of end-organ hypoperfusion with at least one of the following criteria:
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Somnolence.
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Cold, pale skin or extremities.
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Oliguria (≤30 mL/h).
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Serum lactate > 2.0 mmol/L.
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Age ≥ 18 years ≤90 years.
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Signed informed consent
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Contraindications to Impella CP® implantation.
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Shock duration > 12 h before evaluation.
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Severe PVD making Impella implantation impossible.
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Aortic valve insufficiency/stenosis at least II°.
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Age > 90 years.
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CNS disease with fixed, dilated pupils (not drug-induced).
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Severe concomitant disease with limited life expectancy < 6 months.
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Participation in another study.
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CPR > 30 min.
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Shock due to other reasons.
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