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==Overview==
==Overview==
The identification of high-risk groups for developing cardiogenic shock, particularly in [[ACS]] patients (since this is the most common cause of this type of [[shock]], and its promoting factors is mandatory for the improvement of the [[survival rate]] of these [[patients]], along with avoidance of measures which might lead to [[iatrogenic]] [[shock]].<ref>{{Cite book  | last1 = Hasdai | first1 = David. | title = Cardiogenic shock : diagnosis and treatmen | date = 2002 | publisher = Humana Press | location = Totowa, N.J. | isbn = 1-58829-025-5 | pages =  }}</ref>
Several triggers have been associated with an increased risk of developing cardiogenic shock. Advanced age and [[MI]] are among the most common predisposing risk factors.
Several triggers have been associated with an increased risk of developing cardiogenic shock. Advanced age and [[MI]] are among the most common predisposing risk factors.



Revision as of 20:23, 30 April 2014

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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]

Overview

The identification of high-risk groups for developing cardiogenic shock, particularly in ACS patients (since this is the most common cause of this type of shock, and its promoting factors is mandatory for the improvement of the survival rate of these patients, along with avoidance of measures which might lead to iatrogenic shock.[1]

Several triggers have been associated with an increased risk of developing cardiogenic shock. Advanced age and MI are among the most common predisposing risk factors.

Risk Factors

Risk factors for the development of cardiogenic shock include:

  • Elderly (age >70 yrs)
  • Prior myocardial infarction (MI)
  • Diabetes
  • Anterior infarction
  • Left main disease
  • 3 vessel disease
  • Early use of beta blockers in large infarcts
  • Systolic blood pressure < 120 mm Hg
  • Sinus tachycardia > 110 bpm
  • Heart rate < 60 bpm[2]

References

  1. Hasdai, David. (2002). Cardiogenic shock : diagnosis and treatmen. Totowa, N.J.: Humana Press. ISBN 1-58829-025-5.
  2. Antman, EM.; Hand, M.; Armstrong, PW.; Bates, ER.; Green, LA.; Halasyamani, LK.; Hochman, JS.; Krumholz, HM.; Lamas, GA. (2008). "2007 focused update of the ACC/AHA 2004 guidelines for the management of patients with ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines". J Am Coll Cardiol. 51 (2): 210–47. doi:10.1016/j.jacc.2007.10.001. PMID 18191746. Unknown parameter |month= ignored (help)