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Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Dry (Forrester Class ... Wet (Forrester Class ... Dry (Forrester Class ... Wet (Forrester Class ... #CHF #Diagnosis
Traditionally, congestive heart failure has been classified according to severity of symptoms, first formulated by the
ups that cause class ... III and class IV ... #Diagnosis #Cardiology ... #HeartFailure #Staging ... #Classification
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... bleed), third spacing ... pancreatitis), GI losses ... CARDIOGENIC 16% • MI, CHF ... #diagnosis #differential
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... and Differential Diagnosis ... Decompensated CHF ... Blood Loss, GI Losses ... , Third Spacing,
In order to better classify heart failure, the American College of Cardiology Foundation and the American
four-component staging ... Association functional class ... #Diagnosis #Cardiology ... #CHF #Congestive ... #Stages #Classes
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Decompensated CHF ... Blood Loss, GI Losses ... , Third Spacing, ... #criticalcare #algorithm
Type 2 Diabetes - Screening, Diagnosis and Management Algorithm
Lifestyle  Modifications (Diet and Exercise) -> Start
Diabetes - Screening, Diagnosis ... and Management Algorithm ... Secretagogues after starting ... • Secondary Causes ... #DM2 #DMII #Classification
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Imaging and more ... are excellent at evaluating ... essentially Cardiogenic Shock ... #algorithm #management ... #heartfailure #chf
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... disease b) CHF ... ASA class If ... event, follow ACC algorithm ... stratification #diagnosis