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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 | ↓↓ | ↑ | ↓↓ | ↓↓ | ↓ |
Management
References
- ↑ Vincent, JL.; De Backer, D. (2013). "Circulatory shock". N Engl J Med. 369 (18): 1726–34. doi:10.1056/NEJMra1208943. PMID 24171518. Unknown parameter
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ignored (help) - ↑ Weil, Max Harry; Shubin, Herbert (1967). Diagnosis and Treatment of Shock. Williams & Wilkins. ISBN 1125885874.