Cardiogenic shock other diagnostic studies: Difference between revisions
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{{Cardiogenic shock}} | {{Cardiogenic shock}} | ||
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==Other Diagnostic Studies== | ==Other Diagnostic Studies== | ||
=== Swan | === Swan Ganz Catheter === | ||
The [[Swan-ganz catheter]] or [[pulmonary artery catheter]] may be helpful in distinguishing cardiogenic shock from [[septic shock]] and in optimizing the patient's left ventricular filling pressures (see section on [[Cardiogenic shock#Treatment|Treatment below)]]. The presence of significant V waves (greatly exceeding the pulmonary [[capillary wedge pressure]]) on the [[pulmonary artery]] tracing suggests either acute [[mitral regurgitation]] or a [[ventricular septal defect]]. | The [[Swan-ganz catheter]] or [[pulmonary artery catheter]] may be helpful in distinguishing cardiogenic shock from [[septic shock]] and in optimizing the patient's left ventricular filling pressures (see section on [[Cardiogenic shock#Treatment|Treatment below)]]. The presence of significant V waves (greatly exceeding the pulmonary [[capillary wedge pressure]]) on the [[pulmonary artery]] tracing suggests either acute [[mitral regurgitation]] or a [[ventricular septal defect]]. | ||
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Revision as of 15:57, 5 February 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Other Diagnostic Studies
Swan Ganz Catheter
The Swan-ganz catheter or pulmonary artery catheter may be helpful in distinguishing cardiogenic shock from septic shock and in optimizing the patient's left ventricular filling pressures (see section on Treatment below). The presence of significant V waves (greatly exceeding the pulmonary capillary wedge pressure) on the pulmonary artery tracing suggests either acute mitral regurgitation or a ventricular septal defect.
Biopsy
In case of suspected cardiomyopathy a biopsy of heart muscle may be of benefit in establishing a definitive diagnosis.