Cardiogenic shock risk factors
|
Cardiogenic Shock Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Cardiogenic shock risk factors On the Web |
|
American Roentgen Ray Society Images of Cardiogenic shock risk factors |
|
Risk calculators and risk factors for Cardiogenic shock risk factors |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]
Overview
The identification of high-risk groups for developing cardiogenic shock, particularly in ACS patients (since this is the most common cause of this type of shock), and its promoting factors is mandatory for the improvement of the survival rate of these patients by providing adequate therapeutic measures and avoiding others which might otherwise lead to iatrogenic shock.[1]
Several triggers have been associated with an increased risk of developing cardiogenic shock. Advanced age and MI are among the most common predisposing risk factors.
Risk Factors
According to several studies there are risk factors which are associated with the development of cardiogenic shock. These include:
- Elderly (age > 65 years)[2]
- Prior myocardial infarction (MI)
- Diabetes
- Anterior infarction
- Left main disease
- 3 vessel disease
- Early use of beta blockers in large infarcts
- Systolic blood pressure < 120 mm Hg
- Sinus tachycardia > 110 bpm
- Heart rate < 60 bpm[3]
References
- ↑ Hasdai, David. (2002). Cardiogenic shock : diagnosis and treatmen. Totowa, N.J.: Humana Press. ISBN 1-58829-025-5.
- ↑ Hands, Mark E.; Rutherford, John D.; Muller, James E.; Davies, Glenn; Stone, Peter H.; Parker, Corette; Braunwald, Eugene (1989). "The in-hospital development of cardiogenic shock after myocardial infarction: Incidence, predictors of occurrence, outcome and prognostic factors". Journal of the American College of Cardiology. 14 (1): 40–46. doi:10.1016/0735-1097(89)90051-X. ISSN 0735-1097.
- ↑ Antman, EM.; Hand, M.; Armstrong, PW.; Bates, ER.; Green, LA.; Halasyamani, LK.; Hochman, JS.; Krumholz, HM.; Lamas, GA. (2008). "2007 focused update of the ACC/AHA 2004 guidelines for the management of patients with ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines". J Am Coll Cardiol. 51 (2): 210–47. doi:10.1016/j.jacc.2007.10.001. PMID 18191746. Unknown parameter
|month=ignored (help)