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| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |'''[[Myocardial infarction|Myocardial Infarction]]'''|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↓↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑||style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↓
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" |'''[[Myocardial infarction|Myocardial Infarction]]'''|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↓↓|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑||style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↑↑|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=center |↓
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| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" rowspan=2 |'''Extracardiac <BR> Obstructive'''|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |'''[[Pulmonary embolism|Pulmonary Embolism]]'''|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↓↓|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |N  — ↓|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↑↑||style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↓
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" rowspan=2 |'''Obstructive'''|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |'''[[Pulmonary embolism|Pulmonary Embolism]]'''|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↓↓|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |N  — ↓|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↑↑||style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↓
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| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |'''[[Cardiac tamponade|Cardiac Tamponade]]'''|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↓ — ↓↓|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↑↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↑↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↓
| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" |'''[[Cardiac tamponade|Cardiac Tamponade]]'''|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↓ — ↓↓|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↑↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↑↑|| style="font-size: 90%; padding: 0 5px; background: #F5F5F5;" align=center |↓

Revision as of 20:20, 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

Hemodynamic Profiles of Shock[2]
Type of Shock CO SVR PCWP CVP SVO2
Cardiogenic Acute Ventricular Septal Defect ↓↓ N — ↑ ↑↑ ↑ — ↑↑
Acute Mitral Regurgitation ↓↓ ↑↑ ↑ — ↑↑
Myocardial Infarction ↓↓ ↑↑ ↑↑
Obstructive Pulmonary Embolism ↓↓ N — ↓ ↑↑
Cardiac Tamponade ↓ — ↓↓ ↑↑ ↑↑
Distributive Septic Shock N — ↑↑ ↓ — ↓↓ N — ↓ N — ↓ ↑ — ↑↑
Anaphylactic Shock N — ↑↑ ↓ — ↓↓ N — ↓ N — ↓ ↑ — ↑↑
Hypovolemic Volume Depletion ↓↓ ↓↓ ↓↓


[3]

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. Parrillo, Joseph E.; Ayres, Stephen M. (1984). Major issues in critical care medicin. Baltimore: William Wilkins. ISBN 0-683-06754-0.
  3. Weil, Max Harry; Shubin, Herbert (1967). Diagnosis and Treatment of Shock. Williams & Wilkins. ISBN 1125885874.