Cardiogenic shock diagnostic criteria: Difference between revisions
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In clinical trials, cardiogenic shock has been defined as follows by the SHOCK investigators:<ref>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.</ref> | In clinical trials, cardiogenic shock has been defined as follows by the SHOCK investigators:<ref>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.</ref> | ||
'''1- Persistent [[hypotension]]:'''<br> | |||
*Systolic blood pressure <90 mm Hg | * [[Systolic blood pressure]] <80 to 90 mm Hg, '''or'''<br> | ||
* [[Mean arterial pressure]] 30 mm Hg lower than baseline<br> | |||
* | |||
'''AND'''<br> | |||
* | |||
* | '''2- Severe decrease in the [[cardiac index]] (CI):'''<br> | ||
* CI <1.8 L/min/m<sup>2</sup> without support, '''or'''<br> | |||
* CI <2.0 to 2.2 L/min/m<sup>2</sup> with support<br> | |||
'''AND'''<br> | |||
'''3- Adequate or elevated filling pressure:'''<br> | |||
* Left ventricular end-diastolic pressure >18 mm Hg, '''or'''<br> | |||
* Right ventricular end-diastolic pressure >10 to 15 mm Hg | |||
==References== | ==References== | ||
Revision as of 00:09, 4 February 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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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.