The treatment of cardiogenic shock complicating the acute coronary syndromes consists of medical therapy, percutaneous revascularization procedures, cardiac surgery, and the implantation of devices. Cardiogenic shock journal of the american heart association. Read and learn about the causes, symptoms, diagnosis and treatment of this potentially lifethreatening condition. Cardiogenic shock cs is a clinical syndrome characterized by tissue hypoperfusion resulting from cardiac failure associated with high mortality 1, 2. It is a major, and frequently fatal, complication of a variety of acute and chronic disorders, occurring most commonly following acute myocardial infarction mi.
Shock symptoms, diagnosis and treatment bmj best practice. Cardiogenic shock is a physiologic state in which inadequate tissue perfusion results from cardiac dysfunction, most often systolic. The pathophysiology of cardiogenic shock involves a vicious spiral circle. Management of shock is best undertaken in a critical care environment. Treatment of cardiogenic shock depends on the cause with the initial goals to improve blood flow to the body. Cardiogenic shock diagnosis and treatment mayo clinic. Thats why more cardiogenic shock units are adapting treatment algorithms to help quickly guide decisionmaking and ensure the best possible outcomes for patients. Most people who have cardiogenic shock need extra oxygen. Cardiogenic shock is usually diagnosed in an emergency setting. It increases awareness of the importance of close medical surveillance of patients with ami and cardiogenic shock in the immediate posthospital discharge period. Cardiogenic shock is a condition in which your heart suddenly cant pump enough blood to meet your bodys needs. This can done in a number of waysfluid resuscitation, blood transfusions, vasopressors, and ionotropes.
If cardiogenic shock is due to a heart attack, attempts to open the hearts arteries may help. Cardiogenic shock is characterized by inadequate tissue perfusion due to cardiac dysfunction, and it is often caused by acute myocardial infarction. The heart, in the absence of hypovolemia, is unable to maintain adequate blood flow to meet the tissues metabolic needs, with progressive and potentially irreversible organic dysfunction occurring. Cardiogenic shock symptoms,pictures,causes and treatment. Cardiogenic shock cs is a common cause of mortality, and management remains challenging despite advances in therapeutic options. The condition is most often caused by a severe heart attack, but not everyone who has a heart attack has cardiogenic shock.
Cardiogenic shock occurs when the heart has been damaged to the point that its unable to supply enough blood to the organs of the body. Cardiogenic shock cs is a clinical condition of inadequate tissueend organ perfusion due to cardiac dysfunction hypotension sbp cardiogenic shock is a highacuity, potentially complex, and hemodynamically diverse state of endorgan hypoperfusion that is frequently associated with multisystem organ failure. The key to an optimal treatment of cardiogenic shock patients is a structured approach. Cs is caused by severe impairment of myocardial performance that results in diminished cardiac output, end. Cardiogenic shock is the most common cause of death in people who suffer from heart attacks. Cardiogenic shock cs is a clinical condition of inadequate tissueend organ perfusion due to cardiac dysfunction hypotension sbp pdf file of the complete article 1. Cardiogenic shock treatment focuses on minimizing the damage from lack of oxygen to your heart muscle and other organs. Initial treatment aims to optimize oxygen delivery and reverse hypoperfusion through volume resuscitation, vasopressors for refractory hypotension due to vasodilation, management of cardiac dysfunction, and treatment of the underlying cause. Pathophysiology, diagnosis, and treatment of infarction. This test records the electrical activity of your heart via. Worthley department of critical care medicine, flinders medical centre, adelaide, south australia abstract objective. It is a frequently fatal complication of a variety of disorders, occurring most commonly following acute myocardial infarction. If necessary, youll be connected to a breathing machine ventilator. Successfully treating cardiogenic shock requires getting a multidisciplinary team to quickly agree on the patients condition and treatment protocol.
Cardiogenic shock is rare, but its often fatal if not treated immediately. The mortality rate in patients with cardiogenic shock is still very high i. Medical therapy is limited to different positive inotropic and vasoactive drugs, without any firm evidence of survival benefit using these drugs. Adopting a protocol for cardiogenic shock pitfalls and. Read more about symptoms, diagnosis, treatment, complications, causes and prognosis. Links to pubmed are also available for selected references.810 290 692 798 1003 745 696 880 414 840 724 727 300 515 627 851 201 248 1061 344 1553 965 397 662 409 965 460 394 875 735 370 1041 786 1247 645 524 1581 174 990 330 638 1123 374 70 475 883 51 976