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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 ↓↓ ↓↓ ↓↓


[2]

Management

References

  1. Vincent, JL.; De Backer, D. (2013). "Circulatory shock". N Engl J Med. 369 (18): 1726–34. doi:10.1056/NEJMra1208943. PMID 24171518. Unknown parameter |month= ignored (help)
  2. Weil, Max Harry; Shubin, Herbert (1967). Diagnosis and Treatment of Shock. Williams & Wilkins. ISBN 1125885874.