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Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... Forrester Classification ... Table and Mortality ... Class II) - Cold ... #CHF #Diagnosis
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... END-ORGAN DYSFUNCTION ... #Classification ... diagnosis #management #cold ... warm #wet #dry #table
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Differential Diagnosis Algorithm ... Myocardial • Systolic Dysfunction ... • Diastolic Dysfunction ... Artery Disease • Stable ... Interstitium • ILD • CHF
Guillain–Barré syndrome (GBS)
(aka: Landry–Guillain–Barré–Strohl syndrome:
	Most common cause of acute flaccid paralysis
	Rapidly progressive ascending paralysis & areflexia
	Autonomic
, CSF albumin-cytologic ...  Myasthenia gravis ... & worsened by exertion ... cranial nerve dysfunction ...  Spinal Cord
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC algorithm ... with valvular dysfunction ... or LV dysfunction ... Stable patients
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
and congested (“Cold ... essentially Cardiogenic Shock ... #differential #algorithm ... cardiology #treatment #table ... #heartfailure #chf
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Idiopathic LV dysfunction ... thrombus, RV systolic dysfunction ... May have typical HF ... sx: dyspnea on exertion ... Pts: cardiogenic shock