Cardiogenic shock resident survival guide: Difference between revisions
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It is a state of end-organ hypoperfusion due cardiac failure leading to hemodynamic changes: | It is a state of end-organ hypoperfusion due cardiac failure leading to hemodynamic changes: | ||
:*SBP < 80 mmHg or MAP < 30 mmHg than baseline | :*SBP < 80 mmHg or MAP < 30 mmHg than baseline | ||
:*CI < 1.8 L. | :*CI < 1.8 L.Min<sup>-1</sup>·M<sup>-2</sup> without vasopressors support or CI 2.0 to 2.2 L.Min<sup>-1</sup>·M<sup>-2</sup> with vasopressors support. | ||
==Causes== | ==Causes== |
Revision as of 17:53, 4 December 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Zaghw, M.D. [2]
Definition
It is a state of end-organ hypoperfusion due cardiac failure leading to hemodynamic changes:
- SBP < 80 mmHg or MAP < 30 mmHg than baseline
- CI < 1.8 L.Min-1·M-2 without vasopressors support or CI 2.0 to 2.2 L.Min-1·M-2 with vasopressors support.
Causes
Life Threatening Causes
Common Causes
- Cardiogenic shock
- Pump problems (e.g. post-MI), cardiomyopathy
- Mechanical (e.g. cardiac tamponade, tension pneumothorax), aortic stenosis
- Electrical eg VT or AF or most fundamentally VF
Prognosis
Management
Shock | |||||||||||||||||||||||||||||
ABCD Airway / O2 / 2 wide bore IV access / 12-lead ECG / focused H&P / CXR | |||||||||||||||||||||||||||||
{{{ C01 }}} | {{{ C02 }}} | {{{ C03 }}} | |||||||||||||||||||||||||||