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|+ <SMALL>''Hemodynamic Profiles of Shock''<ref name="isbn0-683-06754-0">{{Cite book  | last1 = Parrillo | first1 = Joseph E. | last2 = Ayres | first2 = Stephen M. | title = Major issues in critical care medicin | date = 1984 | publisher = William  Wilkins | location = Baltimore | isbn = 0-683-06754-0 | pages =  }}</ref></SMALL>
|+ <SMALL>''Hemodynamic Profiles of Shock''<ref name="isbn0-683-06754-0">{{Cite book  | last1 = Parrillo | first1 = Joseph E. | last2 = Ayres | first2 = Stephen M. | title = Major issues in critical care medicin | date = 1984 | publisher = William  Wilkins | location = Baltimore | isbn = 0-683-06754-0 | pages =  }}</ref></SMALL>
| align="center" style="background:#A5B2D6;" colspan=2 |'''Type of Shock'''
| align="center" style="background:#A5B2D6;" colspan=2 |'''Type of Shock'''
| align="center" style="background:#A5B2D6; width: 50px;"|'''CO'''
| align="center" style="background:#A5B2D6; width: 55px;"|'''CO'''
| align="center" style="background:#A5B2D6; width: 50px;"|'''SVR'''
| align="center" style="background:#A5B2D6; width: 55px;"|'''SVR'''
| align="center" style="background:#A5B2D6; width: 50px;"|'''PCWP'''
| align="center" style="background:#A5B2D6; width: 55px;"|'''PCWP'''
| align="center" style="background:#A5B2D6; width: 50px;"|'''CVP'''
| align="center" style="background:#A5B2D6; width: 55px;"|'''CVP'''
| align="center" style="background:#A5B2D6; width: 50px;"|'''SV<sub>O<sub>2</sub></sub>'''
| align="center" style="background:#A5B2D6; width: 55px;"|'''SV<sub>O<sub>2</sub></sub>'''
|-
|-
! style="font-size: 90%; padding: 0 5px; background: #DCDCDC; width: 100px;" rowspan=3 |'''Cardiogenic'''|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC; width: 300px;" | [[Myocardial Infarction]] || style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↓↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↓
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC; width: 80px;" rowspan=3 |'''Cardiogenic'''|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC; width: 200px;" |'''[[Ventricular septal defect|Acute Ventricular Septal Defect]]'''|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↓↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |N — ↑|| style="font-size: 90%; padding: 0 5px; background:#DCDCDC;" |↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑ — ↑↑
|-
|-
! style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |Acute Ventricular Septal Defect || style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↓↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |N–↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑–↑↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |'''[[Mitral regurgitation|Acute Mitral Regurgitation]]'''|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↓↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑ — ↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↓
|-
|-
! style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" | Acute Mitral Regurgitation || style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↓↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑–↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↓
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |'''[[Myocardial infarction|Myocardial Infarction]]'''|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↓↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑||style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↓
|-
|-
! style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" rowspan=2 |'''Extracardiac <BR> Obstructive'''|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" | Cardiac Tamponade || style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↓–↓↓|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↑↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↑↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↓
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" rowspan=2 |'''Extracardiac <BR> Obstructive'''|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |'''[[Pulmonary embolism|Pulmonary Embolism]]'''|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↓↓|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |N  — ↓|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↑↑||style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↓
|-
|-
! style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" | Pulmonary Embolism || style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↓↓|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |N –↓|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↑↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↓
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |'''[[Cardiac tamponade|Cardiac Tamponade]]'''|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↓ — ↓↓|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↑↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↑↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↓
|-
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! style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" rowspan=2 |'''Distributive'''|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" | Septic Shock || style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |N–↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↓–↓↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |N–↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |N–↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑–↑↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" rowspan=2 |'''Distributive'''|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |'''[[Septic shock|Septic Shock]]'''|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |N — ↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↓ — ↓↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |N — ↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |N — ↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑ — ↑↑
|-
|-
! style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" | Anaphylactic Shock || style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |N–↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↓–↓↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |N–↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |N–↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑–↑↑
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |'''[[Anaphylactic shock|Anaphylactic Shock]]'''|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |N — ↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↓ — ↓↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |N — ↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |N — ↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |↑ — ↑↑
 
|-
|-
! style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" rowspan=1 |'''Hypovolemic'''|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" | Hemorrhage or Fluid Depletion || style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↓↓||style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↓↓|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↓↓|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↓
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" rowspan=1 |'''Hypovolemic'''|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |'''[[Volume depletion|Volume Depletion]]'''|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↓↓||style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↓↓|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↓↓|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |↓
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Revision as of 20:15, 4 March 2014

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

Synonyms and keywords: Circulatory shock

Definition

Shock is the clinical expression of circulatory failure that results in inadequate cellular oxygen utilization.[1]

Causes

Shock is a life-threatening condition and must be treated as such irrespective of the causes.


Classification

Hemodynamic Profiles of Shock[2]
Type of Shock CO SVR PCWP CVP SVO2
Cardiogenic Acute Ventricular Septal Defect ↓↓ ↑ N — ↑ ↑↑ ↑ — ↑↑
Acute Mitral Regurgitation ↓↓ ↑ ↑↑ ↑ — ↑↑ ↓
Myocardial Infarction ↓↓ ↑ ↑↑ ↑↑ ↓
Extracardiac
Obstructive		 Pulmonary Embolism ↓↓ ↑ N — ↓ ↑↑ ↓
Cardiac Tamponade ↓ — ↓↓ ↑ ↑↑ ↑↑ ↓
Distributive Septic Shock N — ↑↑ ↓ — ↓↓ N — ↓ N — ↓ ↑ — ↑↑
Anaphylactic Shock N — ↑↑ ↓ — ↓↓ N — ↓ N — ↓ ↑ — ↑↑
Hypovolemic Volume Depletion ↓↓ ↑ ↓↓ ↓↓ ↓


[3]

Management

References

  1. ↑ Vincent, JL.; De Backer, D. (2013). "Circulatory shock". N Engl J Med. 369 (18): 1726–34. doi:10.1056/NEJMra1208943. PMID 24171518. Unknown parameter |month= ignored (help)
  2. ↑ Parrillo, Joseph E.; Ayres, Stephen M. (1984). Major issues in critical care medicin. Baltimore: William Wilkins. ISBN 0-683-06754-0.
  3. ↑ Weil, Max Harry; Shubin, Herbert (1967). Diagnosis and Treatment of Shock. Williams & Wilkins. ISBN 1125885874.
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