Transcription of Cardiogenic Shock - American Heart Association
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Cardiogenic Shock - American Heart Association
Cardiogenic ShockMichael Liston Cardiogenic Shock (CS) is a clinical condition of inadequate tissue(end organ) perfusion due to cardiac dysfunction Hypotension (SBP < 80-90 mmHg) or MAP 30 mmHg below baseline Reduced cardiac index(< L/min per m2) < L/min per m2 with support Adequate or elevated filling pressuresDifferentiating types of Shock Etiology PCWP CO SVR SVO2 Hypovolemic v v ^ vCardiogenic ^ v ^ vSeptic v or = ^ v ^Prevalence Occurs in 5-8% of STEMI and of NonSTEMI 40,000-50,000 cases annually in the USMortality Current registries suggest a mortality rate of about 50% Historically rates quoted as high as 80-90% With early revascularization.
Severe valvular heart disease (AS, AI, MS or MR) ... • Who are survivors of sudden cardiac arrest due to ventricular fibrillation (VF) after evaluation to define the cause of the event and to exclude any completely reversible causes Level of Evidence ...
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