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Cardiogenic shock is a medical emergency resulting from inadequate blood flow to the body's organs due to the dysfunction of the heart. Signs of inadequate blood flow include low urine production (<30 mL/hour), cool arms and legs, and decreased level of consciousness.
Shock from blood loss occurs in about 1–2% of trauma cases. [34] Overall, up to one-third of people admitted to the intensive care unit (ICU) are in circulatory shock. [42] Of these, cardiogenic shock accounts for approximately 20%, hypovolemic about 20%, and septic shock about 60% of cases. [43]
Its utility in distinguishing types of shock has been discussed in medical literature and reference material concerning emergency medicine, [1] emergency medical services, [2] fire rescue, [3] and specialized courses such as the Comprehensive Advanced Life Support Program.
Onset may be rapid (acute) or more gradual (subacute). [10] [2] Signs of cardiac tamponade typically include those of cardiogenic shock including shortness of breath, weakness, lightheadedness, cough [1] and those of Beck's triad e.g. jugular vein distention, quiet heart sounds and hypotension.
A common type of surgical shock is hypovolemic shock, which is often caused by blood loss. [1] [2] Other types of shock include cardiogenic, obstructive and distributive. [3] [4] Failure to identify and treat the underlying cause of shock in any setting may lead to irreversible multiple organ damage, organ failure, and death. [2] [4] [1]
Killip class IV describes individuals in cardiogenic shock or hypotension (measured as systolic blood pressure lower than 90 mmHg), and evidence of peripheral vasoconstriction (oliguria, cyanosis or sweating).
Their inotropic properties make cardiactonic agents critical in addressing inadequate perfusion, and acute heart failure conditions including cardiogenic shock, as well as for long-term management of heart failure. These conditions arise when the heart's ability to meet the body's needs is compromised.
Coronary Vasculature. Coronary perfusion pressure (CPP) refers to the pressure gradient that drives coronary blood pressure.The heart's function is to perfuse blood to the body; however, the heart's own myocardium (heart muscle) must, itself, be supplied for its own muscle function.