Cardiogenic shock natural history, complications and prognosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Complications
Complications of cardiogenic shock include:
Cardiac
A downward spiral of hypotension leading to reduced coronary perfusion leading to further hypotension and a further reduction in coronary perfusion
Neurologic
Coma
Renal
Oligurin renal failure
Pulmonary
Cardiogenic pulmonary edema
Prognosis
Cardiogenic shock carries a very poor prognosis, particularly in the elderly. In the GUSTO 1 trial, the following were identified as correlates of higher mortality among patients with cardiogenic shock:[1]
- Older age
- Prior MI
- Signs of hypoperfusion including cold, clammy skin
- Altered mental state
- Oliguria
References
- ↑ Hasdai D, Califf RM, Thompson TD, et al. Predictors of cardiogenic shock after thrombolytic therapy for acute myocardial infarction. J Am Coll Cardiol. Jan 2000;35(1):136-43.