The information on this website is not intended for diagnosis or treatment. Please consult your physician for health concerns.

+90 850 321 50 00

Cardiogenic Shock

Shock due to inadequate cardiac pump function carries high mortality.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

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

What is Cardiogenic Shock?

Cardiogenic shock is the clinical picture in which tissue perfusion becomes inadequate as a result of impaired cardiac pump function. The most common cause is acute myocardial infarction.

It is characterized by hypotension, oliguria, altered consciousness and cold periphery. Mortality is around 40-60%.

Early revascularization (primary PCI), mechanical circulatory support and intensive care approach improve outcomes.

Symptoms

Severe hypotension (systolic <90 mmHg)
Cold, clammy and pale skin
Tachycardia or bradycardia
Oliguria (<30 ml/hour urine)
Confusion, lethargy
Signs of pulmonary edema and dyspnea

Risk Factors

Acute myocardial infarction
Cardiac valve disease and dysfunction
Acute myocarditis
Rhythm disorders
Pulmonary embolism
Cardiotoxic drug exposure

When to See a Doctor?

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

  • Call 112 if chest pain is accompanied by weakness and faintness
  • Make an emergency call immediately for cold sweating, dyspnea and confusion
  • Rapid presentation is mandatory in sudden deterioration of a patient with prior heart attack
  • Difficulty standing up and decreased urine output require documentation

Treatment Methods

01
ABC stabilization, oxygen and monitoring
02
ECG and bedside echocardiography
03
Inotrope support (dobutamine, noradrenaline)
04
Primary percutaneous coronary intervention (PCI)
05
Mechanical circulatory support (IABP, ECMO, Impella)
06
Multidisciplinary follow-up in the intensive care unit

Which Department to Visit?

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

Learn About Acil Servis Department

Let us help you

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

Book AppointmentContact Us

Related Health Topics

Other articles from the same department you may want to explore.

Heart Attack First Aid

Acil Servis

Quick recognition and an emergency call in a heart attack dramatically improve the chance of survival.

Stroke Symptoms and FAST Test

Acil Servis

The FAST (Face, Arms, Speech, Time) test is the most practical method for early detection of stroke.

Anaphylaxis (Anaphylactic Shock)

Acil Servis

Anaphylaxis is a severe systemic allergic reaction; epinephrine injection and 112 are the most critical initial interventions.

Respiratory Failure

Acil Servis

Respiratory failure is a life-threatening state characterized by low blood oxygen or rising carbon dioxide.

Poisoning First Aid

Acil Servis

In poisoning, identifying the correct substance and knowing when not to induce vomiting is critical.

Burn Treatment and First Aid

Acil Servis

Emergency treatment for burns varies by degree and extent, starting with cooling and extending to specialist care.

Head Trauma First Aid

Acil Servis

Regardless of the impact severity in head trauma, emergency neurological evaluation is mandatory if there is any change in consciousness.

Emergency Assessment of Chest Pain

Acil Servis

In a patient with chest pain, ECG and cardiac biomarkers rapidly help to distinguish heart attack and pulmonary embolism from other causes.

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.