18 results
Cardiogenic Shock - Diagnosis and Management Summary
Identifying Hypoperfusion from Cardiac Dysfunction
 • Exam: Congestion vs Hypoperfusion
Cardiogenic Shock ... Hypoperfusion from Cardiac Dysfunction ... #Cardiogenic #Shock ... Diagnosis #Management #cardiology
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... Acute valve dysfunction ... Prosthetic valve dysfunction ... Cardiogenic #Comparison #Table
Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... Classification Table ... #Cardiogenic #Shock ... CHF #Diagnosis #Table ... #Cardiology
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
of Cardiogenic Shock ... Fibrillation AV nodal dysfunction ... , Sinus nodal dysfunction ... #Cardiogenic #Shock ... Differential #Diagnosis #Cardiology
SEPSIS AND SEPTIC SHOCK

DEFINITION AND PATHOPHYSIOLOGY
 • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
Life-threatening organ dysfunction ... cellular/metabolic dysfunction ... Infection + Organ dysfunction ... /hypofunction. ... to assess organ dysfunction
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
moderate diastolic dysfunction ... #Diagnosis #Cardiology ... Diastolic #Diastology #Dysfunction ... Grades #Criteria #Table
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Unstable/cardiogenic shock ... Severe LV dysfunction ... Rx: NSTEMI/UA: stable ... catheterization #cardiology
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... Shock Definition ... shock. ... END-ORGAN DYSFUNCTION ... warm #wet #dry #table
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
in Cardiogenic shock ... Patient was in shock ... established, but died on table ... CathLab #clinical #cardiology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
correlates with RV dysfunction ... 0.8 indicates RV dysfunction ... 0.63 predicted RV dysfunction ... or hypovolemic shock ... catheter #diagnosis #cardiology