Cardiogenic shock diagnostic criteria
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Diagnostic Evaluation
In clinical trials, cardiogenic shock has been defined as follows by the SHOCK investigators: [1]
Clinical Criteria
- Systolic blood pressure <90 mm Hg for at least 30 minutes
- Evidence of hypoperfusion
- Cool, clammy periphery
- Decreased urine output
- Decreased level of consciousness
Hemodynamic Criteria
- Left ventricular end diastolic pressure or pulmonary capillary wedge pressure >15 mm Hg
- Cardiac index <2.2 L/min/m2
References
- ↑ Hochman JS, Sleeper LA, Webb JG, et al. Early revascularization in acute myocardial infarction complicated by cardiogenic shock. SHOCK Investigators. Should We Emergently Revascularize Occluded Coronaries for Cardiogenic Shock. N Engl J Med 1999; 341 (9) : 625–34.