Cardiogenic shock differential diagnosis: Difference between revisions

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Revision as of 00:39, 9 May 2014

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]

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 ==Differential Diagnosis==
-Patients who present with [[signs]] and [[symptoms]] of [[hypoperfusion]] following a diagnosed or suspected [[myocardial infarction]], are commonly suffering a cardiogenic shock as a complication of the [[MI]]. However, other clinical scenarios, not related to acute [[MI]] may present similarly. These may be classified in two categories, according to the mechanism at its genesis:
-:1. '''Acute myocardial infarction with shock of non-cardiac etiology:'''
-::*[[Sepsis]] from indwelling [[catheter]]
-::*[[Hypovolemia]] following overaggressive [[diuresis]]
-:2. '''Cardiovascular disease in which the acute myocardial infarction is not the primary problem:'''<ref name="pmid10391815">{{cite journal| author=Hollenberg SM, Kavinsky CJ, Parrillo JE| title=Cardiogenic shock. | journal=Ann Intern Med | year= 1999 | volume= 131 | issue= 1 | pages= 47-59 | pmid=10391815 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10391815  }} </ref>
-::*[[Stress cardiomyopathy|Stress-induced cardiomyopathy]] or [[Stress cardiomyopathy|Takotsubo cardiomyopathy]]
-::*[[Hypertrophic cardiomyopathy]]
-::*Acute [[myopericarditis]]
-::*[[Pulmonary embolism]]
-::*Acute regurgitant [[valvular heart disease]]
-::*Acute [[MI]] from ascending [[aortic dissection]]
 ==References==