Cardiogenic Shock (CS) complicating Acute Decompensated Heart Failure (ADHF) has a distinct pathophysiological background that necessitates particular patient categorization, care, and therapeutic strategies. Deriving a straightforward stratification strategy to forecast survival in patients with ADH complicated by CS was the study’s primary goal. To encourage the intensification of treatment, a model that taes into account the patient’s age, lactates, and creatinine levels at admission (the ALC-Shock score) could be taken into consideration