Cardiogenic shock natural history, complications and prognosis: Difference between revisions
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==Complications== | |||
Complications of cardiogenic shock include: | Complications of cardiogenic shock include: | ||
===Cardiac=== | |||
A downward spiral of hypotension leading to reduced coronary perfusion leading to further hypotension and a further reduction in coronary perfusion | A downward spiral of hypotension leading to reduced coronary perfusion leading to further hypotension and a further reduction in coronary perfusion | ||
===Neurologic=== | |||
Coma | Coma | ||
===Renal=== | |||
Oligurin [[renal failure]] | Oligurin [[renal failure]] | ||
===Pulmonary=== | |||
Cardiogenic [[pulmonary edema]] | Cardiogenic [[pulmonary edema]] | ||
==Prognosis== | |||
Cardiogenic shock carries a very poor prognosis, particularly in the elderly. In the GUSTO 1 trial, the following were identified as correlates of higher mortality among patients with cardiogenic shock:<ref>Hasdai D, Califf RM, Thompson TD, et al. Predictors of cardiogenic shock after thrombolytic therapy for acute myocardial infarction. J Am Coll Cardiol. Jan 2000;35(1):136-43.</ref> | Cardiogenic shock carries a very poor prognosis, particularly in the elderly. In the GUSTO 1 trial, the following were identified as correlates of higher mortality among patients with cardiogenic shock:<ref>Hasdai D, Califf RM, Thompson TD, et al. Predictors of cardiogenic shock after thrombolytic therapy for acute myocardial infarction. J Am Coll Cardiol. Jan 2000;35(1):136-43.</ref> | ||
*Older age | *Older age | ||
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*[[Altered mental state]] | *[[Altered mental state]] | ||
*[[Oliguria]] | *[[Oliguria]] | ||
==References== | ==References== | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Complications
Complications of cardiogenic shock include:
Cardiac
A downward spiral of hypotension leading to reduced coronary perfusion leading to further hypotension and a further reduction in coronary perfusion
Neurologic
Coma
Renal
Oligurin renal failure
Pulmonary
Cardiogenic pulmonary edema
Prognosis
Cardiogenic shock carries a very poor prognosis, particularly in the elderly. In the GUSTO 1 trial, the following were identified as correlates of higher mortality among patients with cardiogenic shock:[1]
- Older age
- Prior MI
- Signs of hypoperfusion including cold, clammy skin
- Altered mental state
- Oliguria
References
- ↑ Hasdai D, Califf RM, Thompson TD, et al. Predictors of cardiogenic shock after thrombolytic therapy for acute myocardial infarction. J Am Coll Cardiol. Jan 2000;35(1):136-43.