Cardiogenic shock differential diagnosis: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
Patients who present with [[signs]] and [[symptoms]] of [[hypoperfusion]] following a diagnosed or suspected [[myocardial infarction]], are commonly suffering a cardiogenic shock as a complication of the [[MI]]. However, other clinical scenarios may present similarly. These may be classified in two categories, according to the mechanism at its genesis: | Patients who present with [[signs]] and [[symptoms]] of [[hypoperfusion]] following a diagnosed or suspected [[myocardial infarction]], are commonly suffering a cardiogenic shock as a complication of the [[MI]]. However, other clinical scenarios, not related to acute [[MI]] may present similarly. These may be classified in two categories, according to the mechanism at its genesis: | ||
:1. '''Acute myocardial infarction with shock | :1. '''Acute myocardial infarction with shock of non-cardiac etiology''' | ||
::*sepsis from indwelling catheter | ::*[[sepsis]] from indwelling [[catheter]] | ||
::*hypovolemia following overaggressive diuresis | ::*[[hypovolemia]] following overaggressive [[diuresis]] | ||
:2. '''Cardiovascular disease in which the acute myocardial infarction is not the primary problem''' | :2. '''Cardiovascular disease in which the acute myocardial infarction is not the primary problem:''' | ||
::*Stress-induced cardiomyopathy or Takotsubo cardiomyopathy | |||
::*Hypertrophic cardiomyopathy | |||
::*Acute myopericarditis | |||
::*Pulmonary embolism | |||
::*Acute regurgitant valvular heart disease | |||
::*Acute MI from ascending aortic dissection | |||
==References== | ==References== | ||
Revision as of 00:25, 9 May 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]
Overview
Differential Diagnosis
Patients who present with signs and symptoms of hypoperfusion following a diagnosed or suspected myocardial infarction, are commonly suffering a cardiogenic shock as a complication of the MI. However, other clinical scenarios, not related to acute MI may present similarly. These may be classified in two categories, according to the mechanism at its genesis:
- 1. Acute myocardial infarction with shock of non-cardiac etiology
- sepsis from indwelling catheter
- hypovolemia following overaggressive diuresis
- 2. Cardiovascular disease in which the acute myocardial infarction is not the primary problem:
- Stress-induced cardiomyopathy or Takotsubo cardiomyopathy
- Hypertrophic cardiomyopathy
- Acute myopericarditis
- Pulmonary embolism
- Acute regurgitant valvular heart disease
- Acute MI from ascending aortic dissection