Cardiogenic shock chest x ray: Difference between revisions

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==Overview==
==Overview==
Chest radiographic findings are useful for excluding other causes of shock or chest pain. The presence of a widened mediastinum may indicate aortic dissection. Tension pneumothorax or pneumomediastinum that are readily detected on radiographic films may manifest as low-output shock. Most patients with established cardiogenic shock exhibit findings of LV failure, the radiologic features of which include pulmonary vascular redistribution, interstitial pulmonary edema, enlarged hilar shadows, the presence of Kerley B lines, cardiomegaly, and bilateral pleural effusions. Alveolar edema manifests as bilateral perihilar opacities in a so-called butterfly distribution.
The [[chest x ray]] will show [[pulmonary edema]], [[pulmonary]] [[vascular]] redistribution, enlarged [[hila]], [[kerley's B lines]], and bilateral [[pleural effusions]] in patients with [[left ventricular failure]]. In contrast, a [[pneumonia]] may be present in the patient with [[septic shock]].[[Chest x-ray]] provides information on cardiac size and pulmonary congestion and may suggest alternative pathogeneses such as aortic dissection, pericardial effusion, pneumothorax, [[esophageal]] [[perforation]], or [[pulmonary embolism]]. The test enables clinicians to confirm the position of the [[endotracheal tube]] and the position of supportive devices, including [[temporary pacing wires]].


==Chest X-ray==
==Chest X-ray==

Latest revision as of 18:18, 8 January 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2] Syed Musadiq Ali M.B.B.S.[3]

Overview

The chest x ray will show pulmonary edema, pulmonary vascular redistribution, enlarged hila, kerley's B lines, and bilateral pleural effusions in patients with left ventricular failure. In contrast, a pneumonia may be present in the patient with septic shock.Chest x-ray provides information on cardiac size and pulmonary congestion and may suggest alternative pathogeneses such as aortic dissection, pericardial effusion, pneumothorax, esophageal perforation, or pulmonary embolism. The test enables clinicians to confirm the position of the endotracheal tube and the position of supportive devices, including temporary pacing wires.

Chest X-ray

Although not an ideal method to diagnose cardiogenic shock, the chest x-ray may provide important information such as:[1][2]

References

  1. Parrillo, Joseph (2013). Critical care medicine principles of diagnosis and management in the adult. Philadelphia, PA: Elsevier/Saunders. ISBN 0323089291.
  2. Reynolds, H. R.; Hochman, J. S. (2008). "Cardiogenic Shock: Current Concepts and Improving Outcomes". Circulation. 117 (5): 686–697. doi:10.1161/CIRCULATIONAHA.106.613596. ISSN 0009-7322.


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