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Controversies inControversies inTreatingTreatingCardiogenicCardiogenicShockShock
Martha Burk, MD, MSMartha Burk, MD, MS
BAMC/Wilford Hall/UTHSCSABAMC/Wilford Hall/UTHSCSACombined Pulmonary FellowsCombined Pulmonary FellowsConferenceConference
 
 
Cardiogenic ShockCardiogenic Shock
Inadequate perfusion of tissue withInadequate perfusion of tissue withrelatively decreased cardiacrelatively decreased cardiacdysfunctiondysfunction
It is the most common cause of It is the most common cause of death in patients hospitalized fordeath in patients hospitalized forAMIAMI
 Treatment of AMI complicated by Treatment of AMI complicated bycardioenic shock remains
 
 
 Two Minute Two MinuteAssessmenAssessmentt
Cold and DryCold and DryNoWarm andWarm andDryDry YesWarm and WetWarm and WetCold and WetCold and Wet
Evidence of LowPerfusion
Narrow pulse pressureNarrow pulse pressurePulsus paradoxusPulsus paradoxusCool extremitiesCool extremitiesAltered mental statusAltered mental statusDrug-related hypotensionDrug-related hypotensionHyponatremiaHyponatremiaWorsening renal functionWorsening renal function
Evidence forCongestion
OrthopneaOrthopneaElevated JVPElevated JVPGallopGallopEdemaEdemaAscitesAscitesRalesRalesHepatojugular refluxHepatojugular reflux
 
Congestion at rest?LowPerfusionAt Rest?No Yes
Nohria, et al JAMA 2002

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dr_salehsalmanleft a comment

thanks u very much

polka9632left a comment

thank u very much but i found it difficult to handlw these presentations in adobe format