Question 1

what is cardiogenic shock?

Accepted Answer

Bad: Inadequate pumping resulting in low blood pressure, underperfusion of vital organs leading to multiorgan failure, with lung congestion, renal impairment, liver dysfunction, and reduced mentation.

Question 2

what causes cardiogenic shock?

Accepted Answer

Many causes: Heart attack, acute myocarditis and stress induced cardiomyopathy can all cause weakness of heart pump and cardiogenic shock.  Acute valve problems or dysruption of heart muscle can happen with heart attacks and infection of the heart (endocarditis) and cause cardiogenic shock.   Severe heart rhythm problems can also cause ineffective heart pump function and cardiogenic shock.

Question 3

whats a cause of cardiogenic shock?

Accepted Answer

Low cardiac output: Cardiogenic shock occurs because of a low output state causing significant low blood pressure.  The decrease in cardiac output results from congestive heart failure and or an abrupt insult the cardiac muscle resulting in less cardiac function and this less output.  The management involves mess lie, dobutamine, as well as BP raising rx such as Dopamine or levophed (norepinephrine).  Balloon pump insertion may help.

Question 4

how do you manage cardiogenic shock?

Accepted Answer

Multimodal: Treat the underlying cause first. Generally, we give medication that increase the heart's ability to pump effectively. We try to remove excess fluid from circulation with diuretics. We can also reduce the constriction in the arteries, making it easier for the heart to pump (less resistance.) We often monitor these treatments with catheters in the radial artery and vena cava.

Question 5

in cardiogenic shock which inotropic support to start with and which one to tapper first and why?

Accepted Answer

Depends: Greatly on situation.  Talk to ICU or ccu physicians.

Question 6

why dopamine is used in cardiogenic shock?

Accepted Answer

Dopamine: Dopamine is used when blood pressure and cardiac output are severely compromised and the risks of using the drug are exceeded by the potential benefits.

Question 7

how could  a teenager have cardiogenic shock?

Accepted Answer

See below:: Although heart attacks (when 1 or more of the coronary arteries become blocked) are the most common cause, cardiogenic shock can also be due to other conditions, such as inflammation of the heart muscle (myocarditis) or infection of the heart valves (endocarditis). Other causes include drug overdoses or poisoning with subtances that can affect a heart's pumping ability.

Question 8

what the investigation for cardiogenic shock?

Accepted Answer

CCU management: Ccu management to optimize tissue and cardiac perfusion.  Aim should be to optimize oxygenation and blood pressure such that vital organs survive.  Investigate causes (include mi, arrhythmia, acute valvular dysfunction, chf, or a systemic problem that has destabilized a tenuous chronic cardiac condition like cardiomyopathy.

Question 9

cardiogenic shock -what do doctors do to stabilize the situation?

Accepted Answer

Medication, IABP: A variety of  IV medications may be used temporarily to improve  pumping function of the heart and improve blood pressure.   A  balloon pump inserted into the aorta through the femoral artery in the groin helps unload the heart and improve blood flow to the tissues.  A pacemaker may help if heart beat is too slow.   All this is helpful only if the condition is reversible/ treatable.

Question 10

what are the expected blood results in a person cardiogenic shock?

Accepted Answer

Multiple abnormal: Elevated lactate levels, metabolic acidosis (low bicarbonate (sodium bicarbonate) levels), elevated b type natriuretic peptide, abnormal liver function tests, abnormal kidney function with elevated BUN and creatinine and abnormsl cardiac enzymes are some of the abnormsl blood tests in cardiogenic shock.

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Cardiogenic shock symptoms

A member asked:

What is cardiogenic shock?

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What causes cardiogenic shock?

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Whats a cause of cardiogenic shock?

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How do you manage cardiogenic shock?

A member asked:

In cardiogenic shock which inotropic support to start with and which one to tapper first and why?

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Why dopamine is used in cardiogenic shock?

A member asked:

How could a teenager have cardiogenic shock?

A member asked:

What the investigation for cardiogenic shock?

A member asked:

Cardiogenic shock -what do doctors do to stabilize the situation?

A member asked:

What are the expected blood results in a person cardiogenic shock?

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