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==Classification==
==Classification==


{| {{table}}
| align="center" style="background:#f0f0f0;"|''''''
| align="center" style="background:#f0f0f0;"|'''CO'''
| align="center" style="background:#f0f0f0;"|'''SVR'''
| align="center" style="background:#f0f0f0;"|'''PWP'''
| align="center" style="background:#f0f0f0;"|'''CVP'''
| align="center" style="background:#f0f0f0;"|'''SVO2'''
|-
| Cardiogenic shock ||||||||||
|-
| Myocardial Infarction||↓↓||↑||↑↑||↑↑||↓
|-
| Acute Ventricular Septal Defect||↓↓||↑ ||nl —↑||↑↑||↑ —↑↑
|-
| Acute Mitral Regurgitation||↓↓||↑ ||↑↑||↑— ↑↑||↓
|-
| Right ventricular infarction||↓↓||↑ ||nl —↑||↑↑||↓
|-
| Extracardiac Obstructive Shock ||||||||||
|-
| Cardiac Tamponade||↓—↓↓||↑ ||↑↑||↑↑||↓
|-
| Pulmonary Embolism||↓↓||↑ ||nl —↓ ||↑↑||↓
|-
| Distributive shock ||||||||||
|-
| Septic Shock||nl —↑↑||↓—↓↓||nl —↓ ||nl —↓ ||↑ —↑↑
|-
| Anaphylactic Shock||nl —↑↑||↓—↓↓||nl —↓ ||nl —↓ ||↑ —↑↑
|-
| Hypovolemic Shock||↓↓||↑ ||↓↓||↓↓||↓
|}





Revision as of 19:24, 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

' CO SVR PWP CVP SVO2
Cardiogenic shock
Myocardial Infarction ↓↓ ↑↑ ↑↑
Acute Ventricular Septal Defect ↓↓ nl —↑ ↑↑ ↑ —↑↑
Acute Mitral Regurgitation ↓↓ ↑↑ ↑— ↑↑
Right ventricular infarction ↓↓ nl —↑ ↑↑
Extracardiac Obstructive Shock
Cardiac Tamponade ↓—↓↓ ↑↑ ↑↑
Pulmonary Embolism ↓↓ nl —↓ ↑↑
Distributive shock
Septic Shock nl —↑↑ ↓—↓↓ nl —↓ nl —↓ ↑ —↑↑
Anaphylactic Shock nl —↑↑ ↓—↓↓ nl —↓ nl —↓ ↑ —↑↑
Hypovolemic Shock ↓↓ ↓↓ ↓↓


[2]



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. Weil, Max Harry; Shubin, Herbert (1967). Diagnosis and Treatment of Shock. Williams & Wilkins. ISBN 1125885874.