Cardiogenic shock diagnostic criteria: Difference between revisions
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{{Cardiogenic shock}} | {{Cardiogenic shock}} | ||
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Revision as of 00:09, 4 February 2014
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Cardiogenic Shock Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Zaghw, M.D. [2]
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Diagnostic Evaluation
In clinical trials, cardiogenic shock has been defined as follows by the SHOCK investigators:[1]
1- Persistent hypotension:
- Systolic blood pressure <80 to 90 mm Hg, or
- Mean arterial pressure 30 mm Hg lower than baseline
AND
2- Severe decrease in the cardiac index (CI):
- CI <1.8 L/min/m2 without support, or
- CI <2.0 to 2.2 L/min/m2 with support
AND
3- Adequate or elevated filling pressure:
- Left ventricular end-diastolic pressure >18 mm Hg, or
- Right ventricular end-diastolic pressure >10 to 15 mm Hg
References
- ↑ Hochman JS, Sleeper LA, Webb JG, et al. Early revascularization in acute myocardial infarction complicated by cardiogenic shock. SHOCK Investigators. Should We Emergently Revascularize Occluded Coronaries for Cardiogenic Shock. N Engl J Med 1999; 341 (9) : 625–34.