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Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... Classification Table ... Class II) - Cold ... Class Ill) - Cold ... Classification #CHF
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... CARDIOGENIC 16% • MI, CHF ... • Cold and Wet ... and Dry #Shock ... #Types #Classification
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
tachycardia, dyspnea, cold ... • Most common type ... dissection of ascending aorta ... Classification #Types ... warm #wet #dry #table
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... - Most common type ... dissection of ascending aorta ... ring OBSTRUCTIVE (Cold ... Classification #types
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Differential Diagnosis SHOCK ... Medications, Spinal Cord ... Decompensated CHF ... Differential #Diagnosis #Types
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... 1) Determine type ... and etiology of shock ... Arrhythmias / CHB ... management #comparison #table
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
metabolic equivalent able ... disease b) CHF ... Stable patients ... Risk Stratify Type ... What is the type
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
non-congested profile (“Cold ... and congested (“Cold ... essentially Cardiogenic Shock ... cardiology #treatment #table ... #heartfailure #chf
LAMP2 cardiomyopathy in a 12-year-old boy with sudden death (Table 1; patient #1). A. At autopsy,
cardiomyopathy in a 12-year-old ... sudden death (Table ... Ao = aorta; LVFW ... defibrillation shock