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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
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
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death -> end-organ dysfunction ... death Common Clinical ... Ext: warm vs. cold ... #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 ... death Common Clinical ... Ext: warm vs. cold ... #Classification ... differential #causes #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 ... with valvular dysfunction ... or LV dysfunction ... Change in clinical
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
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
brain PRES Clinical ... PRES-Associated Clinical ... Infection/Sepsis/Shock ... unclear, endothelial dysfunction ... Imaging Patterns
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Idiopathic LV dysfunction ... thrombus, RV systolic dysfunction ... May have typical HF ... Pts: cardiogenic shock ... during Delivery • Stable