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Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... Table and Mortality ... - Warm & Dry ... II) - Cold & Dry ... #CHF #Diagnosis
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... Classification ... CARDIOGENIC 16% • MI, CHF ... #Shock #Types ... #Classification
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... PRE-SHOCK - Compensated ... end-organ damage, multisystem ... • Most common type ... #table
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... PRE-SHOCK - Compensated ... end-organ damage, multisystem ... - Most common type ... #Classification
Shock Classification Types - Comparison Table
JVP, IVC on Ultrasound, Passive Leg Raise, Temperature of extremities, LV
Shock Classification ... Types - Comparison ... Table JVP, IVC ... Obstructive - Dr ... #Types #Comparison
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... 1) Determine type ... Arrhythmias / CHB ... underlying etiology Dr ... management #comparison #table
Subtypes of Serum Proteins

Pre-albumin (Transthyretin)
Albumin
Globulins
 • Alpha-1: Alpha-1 antitrypsin, Serum amyloid A, Ceruloplasmin, Corticosteroid-binding globulin (Transcortin),
Serum Proteins Pre-albumin ... IgA, RF, CRP Dr ... Proteins #Subtypes #algorithm ... #classification ... #Types #hematology
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
Diagnosis and Workup Algorithm ... ): Shock, Hypoxemia ... Tachycardia-induced HF ... Occlusion • Stable ... CAD Dr.
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... “Warm & Dry” is ... #differential #algorithm ... cardiology #treatment #table ... #heartfailure #chf
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Evaluation Major Pre-Op ... disease b) CHF ... event, follow ACC algorithm ... Risk Stratify Type ... What is the type