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cardiogenic_shock

cardiogenic shock

Introduction

  • cardiogenic shock is shock due to a cardiac cause

Aetiology

cardiomyopathic

arrhythmic

mechanical

Clinical features

  • low blood pressure with inadequate organ perfusion:
    • poor urine output
    • lactic acidosis
    • impaired cognition ranging from anxiety, restlessness, altered mental state to coma
  • usually, a rapid, weak, thread pulse
  • JVP elevation
  • signs of sympathic stimulation - hyperventilation, cutaneous vasoconstriction causing cool, clammy, mottled skin

Mx

  • consider and correct potential causes of shock:
    • hypoxia
    • hypovolaemia
    • hyperkalaemia, hypokalaemia and other metabolic disorders
    • tension pneumothorax
    • tamponade
    • toxins
    • thrombosis (PE/AMI)
cardiogenic_shock.txt · Last modified: 2019/01/05 18:19 (external edit)