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Cardiogenic Shock

Advanced circulatory failure resulting from the heart's inability to maintain adequate cardiac output.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kardiyoloji department. Book Appointment →

What is Cardiogenic Shock?

Cardiogenic shock is a state of hemodynamic compromise in which the heart cannot perfuse end organs adequately. Acute myocardial infarction is the most common cause. Cardiomyopathies, severe valvular disease, myocarditis and arrhythmias can also precipitate shock.

Core diagnostic criteria include systolic blood pressure below 90 mmHg, signs of end-organ hypoperfusion and a demonstrated low cardiac index. Pulmonary capillary wedge pressure is usually elevated.

Care is delivered in a multidisciplinary intensive care setting. Early revascularization, hemodynamic stabilization and mechanical circulatory support devices can reduce mortality.

Symptoms

Hypotension and weak pulse
Cool, pale, clammy skin
Altered mental status
Oliguria or anuria
Tachycardia and tachypnea
Signs of pulmonary edema
Lactic acidosis

Risk Factors

Acute myocardial infarction (especially large LAD infarct)
Advanced heart failure
Mechanical complications (VSR, papillary muscle rupture)
Fulminant myocarditis
Severe valvular disease
Pulmonary embolism
Cardiac tamponade

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Chest pain with altered consciousness
  • Hypotension and cold diaphoresis
  • Sudden deterioration in a heart failure patient
  • Urgent transport need for a patient in established shock

Treatment Methods

01
Intravenous inotropes and vasopressors (dobutamine, norepinephrine)
02
Emergency revascularization (primary PCI or surgery)
03
Mechanical circulatory support (IABP, Impella, ECMO)
04
Invasive hemodynamic monitoring
05
Mechanical ventilation and intensive care
06
Heart transplant evaluation when indicated

Which Department to Visit?

You can visit our Kardiyoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.