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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 | PCWP | CVP | SVO2 | |
Cardiogenic | Myocardial Infarction | ↓↓ | ↑ | ↑↑ | ↑↑ | ↓ |
Acute Ventricular Septal Defect | ↓↓ | ↑ | nl—↑ | ↑↑ | ↑—↑↑ | |
Acute Mitral Regurgitation | ↓↓ | ↑ | ↑↑ | ↑—↑↑ | ↓ | |
Right ventricular infarction | ↓↓ | ↑ | nl—↑ | ↑↑ | ↓ | |
Extracardiac Obstructive | Cardiac Tamponade | ↓—↓↓ | ↑ | ↑↑ | ↑↑ | ↓ |
Pulmonary Embolism | ↓↓ | ↑ | nl —↓ | ↑↑ | ↓ | |
Distributive | Septic Shock | nl—↑↑ | ↓—↓↓ | nl—↓ | nl—↓ | ↑—↑↑ |
Anaphylactic Shock | nl—↑↑ | ↓—↓↓ | nl—↓ | nl—↓ | ↑—↑↑ | |
Hypovolemic | Hemorrhage or Fluid Depletion | ↓↓ | ↑ | ↓↓ | ↓↓ | ↓ |
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
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ignored (help) - ↑ Weil, Max Harry; Shubin, Herbert (1967). Diagnosis and Treatment of Shock. Williams & Wilkins. ISBN 1125885874.