SCAI Pyramid of Cardiogenic Shock Classification E - Extremis - A patient experiencing cardiac arrest with ongoing CPR and/or ECMO. being supported by multiple interventions. D - Deteriorating - A patient who tails to respond to initial interventions. Similar to category C but getting worse. C - Classic - A patient manifests with hypoperfusion that intervention (inotrope, pressor or TCS) beyond volume to restore perfusion. B - Beginning - A patient who has clinical evidence of relative hypotension or tachycardia without hypoperfusion. A - At risk - A patient who is not currently experiencing signs or symptoms of CS, but is at risk of developing CS. #SCAI #Pyramid #Cardiogenic #Shock #Classification #ABCDEs #diagnosis #cardiology