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Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Table and Mortality ... Class II) - Cold ... Class Ill) - Cold ... #CHF #Diagnosis ... #Table #Cardiology
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 ... • Cold and Wet ... #Shock #Types #Classification ... #differential #criticalcare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Differential Diagnosis by Classification ... • Ruptured aortic ... Anaphylaxis - Spinal cord ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... Mechanical → severe aortic ... dissection of ascending aorta ... water #Shock #Classification ... #table
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... Mechanical → severe aortic ... dissection of ascending aorta ... water #Shock #Classification ... diagnosis #management #criticalcare
Severity of Aortic Stenosis in Adults 
Current ACC/AHA guidelines recommend cut-off values for Doppler-echocardiographic measurements of
Severity of Aortic ... ESC guidelines set ... >50 mmHg (2) (Table ... A common pattern ... AorticStenosis #Classification
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 ... Stable patients ... risk (>5%): - Aortic ... Severe Aortic stenosis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
and congested (“Cold ... #differential #algorithm ... cardiology #treatment #table ... #heartfailure #chf ... #criticalcare #
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
and Management Algorithm ... /V/diaphoresis Aortic ... cocaine - PEX: New ... , Dyspnea, H/O COPD ... , asthma, CF, PCP