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Cardiogenic Shock: Pathogenesis, complications and clinical findings

#Cardiogenic #Shock #pathophysiology #cardiology #diagnosis #signs #symptoms
Cardiogenic Shock ... clinical findings #Cardiogenic ... #Shock #pathophysiology ... #cardiology #diagnosis ... #signs #symptoms
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
LV failure - Myocardial ... infarction - Myocarditis ... #Distributive #Cardiogenic ... Comparison #Table #Diagnosis ... #Features #Signs
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
Cardiogenic Shock ... : • Cardiogenic ... the result of a myocardial ... disease. severe myocarditis ... #criticalcare #diagnosis
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
- Acute HF, Cardiogenic ... shock, Arrythmias ... Aberrancy, VT/VF, Myocardial ... #diagnosis #management ... #cardiology #summary
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
Non-lschemic Causes of Cardiogenic ... Shock: Beta-Blockers ... Blockers, Digoxin Myocarditis ... #Shock #Differential ... #Diagnosis #Cardiology
Extrapulmonary manifestations of COVID-19
 • Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-Barré, Ageusia, Myalgia, Anosmia, Stroke
 • Renal:
injury/myocarditis ... Cardiac arrhythmias, Cardiogenic ... shock, Myocardial ... Extrapulmonary #Diagnosis ... #Signs #Symptoms
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Elevated troponin • Cardiogenic ... shock, sudden cardiac ... #Diagnosis #Management ... #Cardiology
Early and Late Complications of Acute Myocardial Infarction - Timeline of Complications
 - Ventricular Arrhythmias
 -
Complications of Acute Myocardial ... Heart Block - Cardiogenic ... Shock - Stroke ... Dressler Syndrome) #Diagnosis ... #Cardiology #Timeline
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
and Differential Diagnosis ... Spinal Cord Injury Cardiogenic ... , CVP > 12 • Myocardial ... Valve Disease, Myocarditis ... #Differential #Diagnosis
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... High SVR: • Cardiogenic ... : Myocardial Infarction ... Valve Disease, Myocarditis ... #Differential #Diagnosis