Cardiogenic shock differential diagnosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]
Overview
Differential Diagnosis
Patients who present with signs and symptoms of hypoperfusion following a diagnosed or suspected myocardial infarction, are commonly suffering a cardiogenic shock as a complication of the MI. However, other clinical scenarios, not related to acute MI may present similarly. These may be classified in two categories, according to the mechanism at its genesis:
- 1. Acute myocardial infarction with shock of non-cardiac etiology:
- Sepsis from indwelling catheter
- Hypovolemia following overaggressive diuresis
- 2. Cardiovascular disease in which the acute myocardial infarction is not the primary problem:
- Stress-induced cardiomyopathy or Takotsubo cardiomyopathy
- Hypertrophic cardiomyopathy
- Acute myopericarditis
- Pulmonary embolism
- Acute regurgitant valvular heart disease
- Acute MI from ascending aortic dissection