Cardiogenic shock differential diagnosis: Difference between revisions
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==Differential Diagnosis== | ==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== | ==References== | ||
Revision as of 14:41, 10 May 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]
Overview
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:[1]
- Stress-induced cardiomyopathy or Takotsubo cardiomyopathy
- Hypertrophic cardiomyopathy
- Acute myopericarditis
- Pulmonary embolism
- Acute regurgitant valvular heart disease
- Acute MI from ascending aortic dissection
References
- ↑ Hollenberg SM, Kavinsky CJ, Parrillo JE (1999). "Cardiogenic shock". Ann Intern Med. 131 (1): 47–59. PMID 10391815.