cardiogenic shock

• related: Cardiology and Hemodynamics, shock in icu
• tags: #note

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• SCAI shock data: stages of cardiogenic shock
  • SCAI stages of shock
  • MI: decreased mortality with device
  • HF: more common and lower mortality, use inotrope first
• add hydralazine/lisinopril when pulling off dobutamine for afterload reduction

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¹

• historically PCI first was the strategy
• new data shows that maybe help LV load first and then PCI may be better
• door to unload instead of door to balloon
• PAPi is ratio of pulmonary artery pulse pressure to right atrial pressure. PAPI correlates with RV dysfunction

Links to this note

• Cardiology and Hemodynamics

  • cardiogenic shock

• pulmonary embolism and DVT

  • related: Hematology, cardiogenic shock

• shock in icu

  • cardiogenic shock

• pulse pressure variation and systolic pressure variation predicts fluid responsiveness

  • related: cardiogenic shock

• SCAI stages of shock

  • related: cardiogenic shock

• Andromeda-SHOCK showed first 8 hours of shock is when improvement happens

  • related: shock in icu, cardiogenic shock

Footnotes

1. CHEST Board Review Critical Care? ↩