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    Socul Cardiogen

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    cretu mihai
    Cardiogenic shock is defined as a systolic blood pressure under 90 mmHg and cardiac index under 2.2 L/m/m2 with a pulmonary capillary wedge pressure over 18 mmHg, caused by impaired cardiac function and inadequate tissue perfusion. Signs include cool skin, tachypnea, hypotension, and altered mental status. Treatment goals are airway stability and improving myocardial pump function through vasoactive drugs, intra-aortic balloon pumps, and coronary reperfusion if possible. Hemodynamic monitoring with a Swan-Ganz catheter can help differentiate shock types and guide treatment, though catheters may increase mortality risk due to selection bias.

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    Socul Cardiogen

    Uploaded by

    cretu mihai
    15 views30 pages
    Cardiogenic shock is defined as a systolic blood pressure under 90 mmHg and cardiac index under 2.2 L/m/m2 with a pulmonary capillary wedge pressure over 18 mmHg, caused by impaired cardiac function and inadequate tissue perfusion. Signs include cool skin, tachypnea, hypotension, and altered mental status. Treatment goals are airway stability and improving myocardial pump function through vasoactive drugs, intra-aortic balloon pumps, and coronary reperfusion if possible. Hemodynamic monitoring with a Swan-Ganz catheter can help differentiate shock types and guide treatment, though catheters may increase mortality risk due to selection bias.

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    Socul Cardiogen

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    Cardiogenic shock is defined as a systolic blood pressure under 90 mmHg and cardiac index under 2.2 L/m/m2 with a pulmonary capillary wedge pressure over 18 mmHg, caused by impaired cardiac function and inadequate tissue perfusion. Signs include cool skin, tachypnea, hypotension, and altered mental status. Treatment goals are airway stability and improving myocardial pump function through vasoactive drugs, intra-aortic balloon pumps, and coronary reperfusion if possible. Hemodynamic monitoring with a Swan-Ganz catheter can help differentiate shock types and guide treatment, though catheters may increase mortality risk due to selection bias.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    15 views30 pages

    Socul Cardiogen

    Uploaded by

    cretu mihai
    Cardiogenic shock is defined as a systolic blood pressure under 90 mmHg and cardiac index under 2.2 L/m/m2 with a pulmonary capillary wedge pressure over 18 mmHg, caused by impaired cardiac function and inadequate tissue perfusion. Signs include cool skin, tachypnea, hypotension, and altered mental status. Treatment goals are airway stability and improving myocardial pump function through vasoactive drugs, intra-aortic balloon pumps, and coronary reperfusion if possible. Hemodynamic monitoring with a Swan-Ganz catheter can help differentiate shock types and guide treatment, though catheters may increase mortality risk due to selection bias.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    Cardiogenic Shock

    Definition
    Risk factors
    Shock types
    Incidence
    Mortality
    Ethiology
    Cardiogenic Shock

    • Defined as: • Signs:


    • SBP < 90 mmHg • Cool, mottled skin
    • CI < 2.2 L/m/m2 • Tachypnea
    • PCWP > 18 • Hypotension
    mmHg • Altered mental
    status
    • Narrowed pulse
    pressure
    • Rales, murmur
    Pathophysyiology
    !! Iatrogenity
    Emergency! Initial evaluation and treatment
    Treatment of Cardiogenic Shock

    • Goals- Airway stability and improving


    myocardial pump function
    • Cardiac monitor, pulse oximetry
    • Supplemental oxygen, IV access
    • Intubation will decrease preload and result
    in hypotension
    • Be prepared to give fluid bolus
    Hemodynamic monitoring
    Swan-Ganz Catheter

    • Utilized to differentiate types of shock and assist in treatment


    response.

    • Probably overused by physicians. Studies documenting


    increased mortality in patients with catheters versus no
    catheters, although somewhat swayed by selection bias.
    Swan –Ganz catheter
    Pharmacologic intervention
    Vasoactive drugs
    Intra-Aortic Balloon
    Intra-aortic ballon pump
    Pump
    Coronary reperfusion
    Shock trial (Danish, begun 2012)
    Shock trial
    Agoritm for revascularization in
    cardiogenic shock (AHA/ACC guidelines)
    AHA Recomandations
    Conclusions

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