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{{Shock}}
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==Overview==
 
Hemodynamic profile aids in classification of shock and is also valuable in directing fluid therapy in patients with [[cardiogenic shock]].
 
==Hemodynamic Profile==
 
{| style="border: 2px solid #A8A8A8; font-size: 70%;" align="center"
|+ <SMALL>''Classification of shock based on hemodynamic parameters.'' (CO, cardiac output; CVP; central venous pressure; PAD, pulmonary artery diastolic pressure; PAS, pulmonary artery systolic pressure; RVD, right ventricular diastolic pressure; RVS, right ventricular systolic pressure; SVO2, systemic venous oxygen saturation; SVR, systemic vascular resistance.)<ref name="isbn0-683-06754-0">{{Cite book | last1 = Parrillo | first1 = Joseph E. | last2 = Ayres | first2 = Stephen M. | title = Major issues in critical care medicine | date = 1984 | publisher = William Wilkins | location = Baltimore | isbn = 0-683-06754-0 | pages = }}</ref><ref name="isbn9781405179263">{{cite book | author = Judith S. Hochman, E. Magnus Ohman | authorlink = | editor = | others = | title = Cardiogenic Shock | edition = | language = | publisher = Wiley-Blackwell | location = | year = 2009 | origyear = | pages = | quote = | isbn = 9781405179263 | oclc = | doi = | url = | accessdate = }}</ref></SMALL>
| align="center" style="background: #A8A8A8; width: 100px;"| '''Type of Shock'''
| align="center" style="background: #A8A8A8; width: 50px;" | '''Etiology'''
| align="center" style="background: #A8A8A8; width: 50px;" | '''CO'''
| align="center" style="background: #A8A8A8; width: 50px;" | '''SVR'''
| align="center" style="background: #A8A8A8; width: 50px;" | '''PCWP'''
| align="center" style="background: #A8A8A8; width: 50px;" | '''CVP'''
| align="center" style="background: #A8A8A8; width: 50px;" | '''SVO2'''
| align="center" style="background: #A8A8A8; width: 50px;" | '''RVS'''
| align="center" style="background: #A8A8A8; width: 50px;" | '''RVD'''
| align="center" style="background: #A8A8A8; width: 50px;" | '''PAS'''
| align="center" style="background: #A8A8A8; width: 50px;" | '''PAD'''
|-
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC; width: 80px;" align=center rowspan=4 | '''Cardiogenic'''
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC; width: 20%;" | '''[[Ventricular septal defect|Acute Ventricular Septal Defect]]'''
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↓↓
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |N — ↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑ — ↑↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |N — ↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |N — ↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |N — ↑
|-
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" | '''[[Mitral regurgitation|Acute Mitral Regurgitation]]'''
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↓↓
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑ — ↑↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↓
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |N — ↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑
|-
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" | '''[[Myocardium|Myocardial Dysfunction]]'''
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↓↓
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↓
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |N — ↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |N — ↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |N — ↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑
|-
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" | '''[[RV infarction|Right Ventricular Infarction]]'''
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↓↓
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |N — ↓
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↓
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↓ — ↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↓ — ↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↓ — ↑
|-
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" rowspan=2 align=center | '''Obstructive'''
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" | '''[[Pulmonary embolism|Pulmonary Embolism]]'''
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↓↓
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↑
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |N — ↓
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↑↑
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↓
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↑
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↑
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↑
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↑
|-
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |'''[[Cardiac tamponade|Cardiac Tamponade]]'''
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↓ — ↓↓
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↑
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↑↑
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↑↑
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↓
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |N — ↑
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↑
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |N — ↑
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |N — ↑
|-
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" rowspan=2 align=center | '''Distributive'''
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" | '''[[Septic shock|Septic Shock]]'''
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |N — ↑↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↓ — ↓↓
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |N — ↓
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |N — ↓
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑ — ↑↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |N — ↓
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |N — ↓
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↓
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↓
|-
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" | '''[[Anaphylactic shock|Anaphylactic Shock]]'''
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |N — ↑↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↓ — ↓↓
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |N — ↓
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |N — ↓
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑ — ↑↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |N — ↓
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |N — ↓
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↓
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↓
|-
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" rowspan=1 align=center | '''Hypovolemic'''
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" | '''[[Volume depletion|Volume Depletion]]'''
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↓↓
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↑
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↓↓
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↓↓
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↓
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |N — ↓
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |N — ↓
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↓
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↓
|}


{{Shock}}
==References==
==References==
{{reflist|2}}
{{reflist|2}}
{{WH}}
 
{{WS}}
[[Category:Medical emergencies]]
[[Category:Medical emergencies]]
[[Category:Causes of death]]
[[Category:Causes of death]]
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[[Category:Disease]]
[[Category:Disease]]
[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Needs content]]

Latest revision as of 12:02, 16 May 2014

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Hemodynamic profile aids in classification of shock and is also valuable in directing fluid therapy in patients with cardiogenic shock.

Hemodynamic Profile

Classification of shock based on hemodynamic parameters. (CO, cardiac output; CVP; central venous pressure; PAD, pulmonary artery diastolic pressure; PAS, pulmonary artery systolic pressure; RVD, right ventricular diastolic pressure; RVS, right ventricular systolic pressure; SVO2, systemic venous oxygen saturation; SVR, systemic vascular resistance.)[1][2]
Type of Shock Etiology CO SVR PCWP CVP SVO2 RVS RVD PAS PAD
Cardiogenic Acute Ventricular Septal Defect ↓↓ ↑ N — ↑ ↑↑ ↑ — ↑↑ N — ↑ ↑ N — ↑ N — ↑
Acute Mitral Regurgitation ↓↓ ↑ ↑↑ ↑ — ↑↑ ↓ ↑ N — ↑ ↑ ↑
Myocardial Dysfunction ↓↓ ↑ ↑↑ ↑↑ ↓ N — ↑ N — ↑ N — ↑ ↑
Right Ventricular Infarction ↓↓ ↑ N — ↓ ↑↑ ↓ ↓ — ↑ ↑ ↓ — ↑ ↓ — ↑
Obstructive Pulmonary Embolism ↓↓ ↑ N — ↓ ↑↑ ↓ ↑ ↑ ↑ ↑
Cardiac Tamponade ↓ — ↓↓ ↑ ↑↑ ↑↑ ↓ N — ↑ ↑ N — ↑ N — ↑
Distributive Septic Shock N — ↑↑ ↓ — ↓↓ N — ↓ N — ↓ ↑ — ↑↑ N — ↓ N — ↓ ↓ ↓
Anaphylactic Shock N — ↑↑ ↓ — ↓↓ N — ↓ N — ↓ ↑ — ↑↑ N — ↓ N — ↓ ↓ ↓
Hypovolemic Volume Depletion ↓↓ ↑ ↓↓ ↓↓ ↓ N — ↓ N — ↓ ↓ ↓

References

  1. ↑ Parrillo, Joseph E.; Ayres, Stephen M. (1984). Major issues in critical care medicine. Baltimore: William Wilkins. ISBN 0-683-06754-0.
  2. ↑ Judith S. Hochman, E. Magnus Ohman (2009). Cardiogenic Shock. Wiley-Blackwell. ISBN 9781405179263.
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