Multiple intravenous vasoactive and / or rhythm controlling drugs when used simultaneously to support or control arterial pressure, cardiac output or organ perfusion (e.g. inotropes, amiodarone, nitrates). To qualify for advanced support status, at least one drug needs to be vasoactive. Continuous observation or cardiac output and derived indices (e.g. pulmonary artery catheter, lithium dilution, pulse contour analyses, oesophageal doppler). Intra aortic balloon pumping and other assist devices. Insertion of a temporary cardiac pacemaker (criteria valid for each day of connection to a functioning external pacemaker unit).

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