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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

Types of Shock		CO	SVR	PWP	CVP	SV_O₂
Cardiogenic	Myocardial Infarction	↓↓	↑	↑↑	↑↑	↓
	Acute Ventricular Septal Defect	↓↓	↑	nl—↑	↑↑	↑—↑↑
	Acute Mitral Regurgitation	↓↓	↑	↑↑	↑—↑↑	↓
	Right ventricular infarction	↓↓	↑	nl—↑	↑↑	↓
Extracardiac Obstructive	Cardiac Tamponade	↓—↓↓	↑	↑↑	↑↑	↓
Extracardiac Obstructive	Pulmonary Embolism	↓↓	↑	nl —↓	↑↑	↓
Distributive	Septic Shock	nl—↑↑	↓—↓↓	nl—↓	nl—↓	↑—↑↑
Distributive	Anaphylactic Shock	nl—↑↑	↓—↓↓	nl—↓	nl—↓	↑—↑↑
Hypovolemic	Hemorrhage or Fluid Depletion	↓↓	↑	↓↓	↓↓	↓

^[2]

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 |month= ignored (help)
↑ Weil, Max Harry; Shubin, Herbert (1967). Diagnosis and Treatment of Shock. Williams & Wilkins. ISBN 1125885874.

[Vincent-2013-1] 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)

[isbn1125885874-2] Weil, Max Harry; Shubin, Herbert (1967). Diagnosis and Treatment of Shock. Williams & Wilkins. ISBN 1125885874.

[1]

[2]

@@ Line 16: / Line 16: @@
 {| {{table}}
-| align="center" style="background:#f0f0f0;"|''''''
+| align="center" style="background:#f0f0f0;" colspan=2 |'''Types of Shock'''
 | 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'''
+| align="center" style="background:#f0f0f0;"|'''SV<sub>O<sub>2</sub></sub>'''
 |-
-| Cardiogenic shock ||||||||||
+| rowspan=4 |'''Cardiogenic'''|| Myocardial Infarction ||↓↓||↑||↑↑||↑↑||↓
 |-
-| Myocardial Infarction||↓↓||↑||↑↑||↑↑||↓
+| Acute Ventricular Septal Defect ||↓↓||↑||nl—↑||↑↑||↑—↑↑
 |-
-| Acute Ventricular Septal Defect||↓↓||↑ ||nl —↑||↑↑||↑ —↑↑
+| Acute Mitral Regurgitation ||↓↓||↑||↑↑||↑—↑↑||↓
 |-
-| Acute Mitral Regurgitation||↓↓||↑ ||↑↑||↑— ↑↑||↓
+| Right ventricular infarction ||↓↓||↑||nl—↑||↑↑||↓
 |-
-| Right ventricular infarction||↓↓||↑ ||nl —↑||↑↑||↓
+| rowspan=2 |'''Extracardiac Obstructive'''|| Cardiac Tamponade ||↓—↓↓||↑||↑↑||↑↑||↓
 |-
-| Extracardiac Obstructive Shock ||||||||||
+| Pulmonary Embolism ||↓↓||↑||nl —↓||↑↑||↓
 |-
-| Cardiac Tamponade||↓—↓↓||↑ ||↑↑||↑↑||↓
+| rowspan=2 |'''Distributive'''|| Septic Shock ||nl—↑↑||↓—↓↓||nl—↓||nl—↓||↑—↑↑
 |-
-| Pulmonary Embolism||↓↓||↑ ||nl —↓ ||↑↑||↓
+| Anaphylactic Shock ||nl—↑↑||↓—↓↓||nl—↓||nl—↓||↑—↑↑
 |-
-| Distributive shock ||||||||||
+| rowspan=1 |'''Hypovolemic'''|| Hemorrhage or Fluid Depletion ||↓↓||↑||↓↓||↓↓||↓
-|-
-| Septic Shock||nl —↑↑||↓—↓↓||nl —↓ ||nl —↓ ||↑ —↑↑
-|-
-| Anaphylactic Shock||nl —↑↑||↓—↓↓||nl —↓ ||nl —↓ ||↑ —↑↑
-|-
-| Hypovolemic Shock||↓↓||↑ ||↓↓||↓↓||↓
 |}
 <ref name="isbn1125885874">{{cite book | author = Weil, Max Harry; Shubin, Herbert | authorlink = | editor = |others = | title = Diagnosis and Treatment of Shock | edition = | language = |publisher = Williams & Wilkins | location = | year = 1967 |origyear = | pages = |quote = | isbn = 1125885874 | oclc = |doi = |url = | accessdate = }}</ref>
 ==Management==