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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 ... #Classification
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... END-ORGAN DYSFUNCTION ... myxedema, beriberi CARDIOGENIC ... #Classification ... warm #wet #dry #table
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... END-ORGAN DYSFUNCTION ... myxedema, beriberi CARDIOGENIC ... Hemorrhagic → leading ... #Classification
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... Acute valve dysfunction ... #Classification ... #Distributive #Cardiogenic ... #Comparison #Table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... Anaphylaxis - Spinal cord ... ) Cardiogenic ( ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Trans-Pulmonary Gradient ... Diastolic Pulmonary Gradient ... 0.8 indicates RV dysfunction ... 0.63 predicted RV dysfunction ... Direct Fick is the GOLD
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death -> end-organ dysfunction ... Ext: warm vs. cold ... wound. drains) Cardiogenic ... #Classification ... differential #causes #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death -> end-organ dysfunction ... Ext: warm vs. cold ... wound. drains) Cardiogenic ... #Classification ... differential #causes #classification
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC ... algorithm to determine ... with valvular dysfunction ... or LV dysfunction ... Stable patients
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
and congested (“Cold ... is essentially Cardiogenic ... Shock. ... #differential #algorithm ... cardiology #treatment #table