Cardiogenic shock: Trends of hospital mortality in Brazil from 2011 to 2020

Izabela de Siqueira Santos; Hiago Sousa Bastos; Aeriberto Carlos Lindoso de Souza; Ana Carolina Ribeiro de Araujo e Araujo; Almir José Guimaraes Gouveia; Otto Mauro dos Santos Rosa; Maria Hilda Araújo Ribeiro; Juliana Fonseca Cavalcante; Keila Regina Matos Cantanhede; Isabella Mota Santa Rosa; Maria Aparecida Costa; Consuelo Penha Castro Marques

doi:10.15406/mojph.2026.15.00508

MOJ

eISSN: 2379-6383

Public Health

Research Article Volume 15 Issue 1

Cardiogenic shock: Trends of hospital mortality in Brazil from 2011 to 2020

Izabela de Siqueira Santos, Hiago Sousa Bastos, Aeriberto Carlos Lindoso de Souza, Ana Carolina Ribeiro de Araujo e Araujo, Almir José Guimaraes Gouveia, Otto Mauro dos Santos Rosa, Maria Hilda Araújo Ribeiro, Juliana Fonseca Cavalcante, Keila Regina Matos Cantanhede, Isabella Mota Santa Rosa, Maria Aparecida Costa, Consuelo Penha Castro Marques

Received: December 27, 2025 | Published: January 19, 2026

Citation: Santos LS, Bastos HS, Souza ACL, et al. Cardiogenic shock: Trends of hospital mortality in Brazil from 2011 to 2020. MOJ Public Health. 2026;15(1):8-13. DOI: 10.15406/mojph.2026.15.00508

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Abstract

Introduction: Cardiogenic shock (CS) is a state of tissue hypoperfusion and circulatory failure that can evolve with multiple organ dysfunction and death. The most common cause, responsible for 80% of cases is acute myocardial infarction (AMI). Despite therapeutic advances, its occurrence is still a predictor of a high mortality rate between 35% and 40%. Objective: To study the hospital mortality profile of cardiogenic shock in Brazil from 2011 to 2020. Methodology: This is an ecological study design of cardiogenic shock in Brazil. We analyzed a secondary data from the Department of Informatics of the SUS (DATASUS). Results: The results showed n=9572 deaths from CS were reported between 2011 and 2020. Despite fluctuations over the years, there was a substantial increase in the number of deaths and mortality rates during this decade. Most deaths occurred in the elderly (76.48%), men (51%) and Caucasians (n=49%). Regarding the regions, the Southeast leads with the highest absolute number (n = 6160), but the Northeast had the highest mortality rate throughout the period. Conclusion: Despite medical advances in cardiology care, CS is a condition with high levels of mortality. Due to the potential severity and lethality, early recognition and adequate management of this pathology are essential. It also highlights the importance of carrying out studies that include less developed regions such as the Northeast, so that they are priorities in public health interventions.

Keywords: shock cardiogenic, epidemiology, hospital mortality