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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 ... CARDIOGENIC (Cold ... #Classification ... warm #wet #dry #table
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
Pneumonia • CHF ... • Hypovolemic shock ... Severe kidney dysfunction ... Nervous System Dysfunction ... mal seizure • Brainstem
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
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
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Infection/Sepsis/Shock ... unclear, endothelial dysfunction ... Imaging Patterns ... the brain • CSF ... of HTN is the mainstay
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