Shock Classification Types - Pathophysiology Comparison
Obstructive Shock:
• Obstructive shock is characterized by a blockage in blood flow caused by a massive pericardial effusion, cardiac tamponade, or tension pneumothorax.
• Echocardiographic Signs: Depends on the cause. Pulmonary embolism or pneumothorax: dilated right ventricle, small left ventricle. Tamponade: pericardial effusion, small left and right ventricles, dilated inferior vena cava.
Distributive Shock:
• Distributive Shock is Characterized by hypovolemia and hypotension. It is the result of vasodilatation and release of inflammatory mediators.
• Echocardiographic Signs: Normal cardiac chambers and (usually) preserved contractility.
Cardiogenic Shock:
• Cardiogenic shock is characterized by low cardiac output and inadequate oxygen transport. It can be the result of a myocardial infarction. end-stage cardiomyopathy. advanced valvular disease. severe myocarditis, or severe cardiac arrhythmias.
• Echocardiographic Signs: Large ventricles and poor contractility.
Hypovolemic Shock:
• Hypovolemic shock is characterized by internal or external fluid loss leading to organ failure.
• Echocardiographic Signs: Small cardiac chambers and normal or high contractility.
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