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Definition
What is Cardiogenic shock?
Cardiogenic shock is defined as heart’s
inability to contract and pump blood
efficiently due to inadequate supply of O2 &
nutrients to the heart.
Most often caused by severe heart attack.
treated immediately
Predisposing/Risk Factors
Older age
A history of heart attacks or heart failure
Coronary heart disease (CHD)- Affects all the
major blood vessels of heart
Hypertension
Diabetes
Obesity
Atherosclerosis
Etiological Factors
• Acute MI
• Severe hypoxemia
• Cardiomyopathy
• Pericardial tamponade
• Acidosis
• Dysrhythmias
• Trauma
• Structural abnormalities
• Valvular abnormality
• Ventricular septal rupture
• Tension pneumothorax
Pathophysiology
↓ Cardiac
Contractibility
↓ Stroke
Volume &
C.O
↓Systemic ↓ Coronary
Pulmonary Tissue Artery
Congestion Perfusion Perfusion
Clinical Manifestations
Angina Pectoris, squeezing pain in center of chest.
Dysrhythmias
Diminished heart sounds
Acute drop in blood pressure > 30 mm Hg
Decreased cardiac output
Tachypneas, shortness of breath
Weak, thready pulse
Sweating, cold hand & feet
Urine output < 30 mL/hr
Cool, pale, moist skin
Complications
Brain damage
Kidney damage
Liver damage
Multiple organ failure
Coma
Death
How is Cardiogenic shock
diagnosed?
Blood pressure test
Electrocardiogram
Echocardiography
Chest X-ray
Cardiac enzyme test
Coronary angiography
Pulmonary artery catheterization
Blood tests:
- ABG, LFT, RFT
Medical Management
Correction of underlying cause:
→ Correction of the underlying cause is very
important as it may lead to:
- Fail of the compensatory mechanisms
interventions
→ Correction of:
- Dysrhythmia
Quit smoking