31 results
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
Shock: Beta-Blockers ... Supraventricular/Atrial ... Tamponade, pulmonary ... #Shock #Differential ... #Diagnosis #Cardiology
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
Pulmonary Arterial ... or the type of shock ... those with severe cardiogenic ... shock (eg, acute ... #NormalValues #Differential
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Differential Diagnosis ... • Severe bum Cardiogenic ... valvulopathy • Pulmonary ... obstruction • Pulmonary ... Obstructive: • Cardiac
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
edema, to differentiate ... patients, who have an acute ... cardiac infarction ... , may have non-cardiac ... #Diagnosis #Radiology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... High SVR: • Cardiogenic ... Decompensated CHF ... • Obstructive: Pulmonary ... Pneumothorax, Cardiac
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
and Differential ... Spinal Cord Injury Cardiogenic ... Decompensated CHF ... , CVP > 12 • Pulmonary ... Pneumothorax, Cardiac
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INCLUSION CRITERIA Acute ... Obtain femoral arterial ... Fick calculated cardiac ... DCSI #Initiative #Management ... #Cardiology
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Neurogenic • Cardiogenic ... : Acute MI, Acute ... Arrhythmias / CHB ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... drained if causing acute ... #CHF #Shock #Cardiogenic ... #HeartFailure #Cardiology ... #Management
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
pressure >10mmHg: • Cardiac ... tamponade • AECOPD/ Acute ... • Hypovolemic shock ... followed by rapid collapse ... Abnormalities #Disorders #Cardiology