Cardiovascular Medicine Book

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Cardiogenic Shock

Aka: Cardiogenic Shock, Acute Pulmonary Edema Management, Congestive Heart Failure Exacerbation Management
  1. See Also
    1. Pulmonary Edema
    2. Congestive Heart Failure
    3. Congestive Heart Failure Exacerbation Decision Rule
    4. Heart Failure Causes
    5. Diastolic Dysfunction
    6. Systolic Dysfunction
  2. Indications
    1. Acute Pulmonary Edema secondary to CHF exacerbation
  3. Management: Initial
    1. Furosemide (Lasix) 0.5 to 1.0 mg/kg IV
    2. Morphine 2 to 4 mg IV
    3. Nitroglycerin 0.4 mg SL
    4. Oxygen (with Advanced Airway management as needed)
  4. Management: Next
    1. Systolic Blood Pressure over 100 mmHg
      1. Nitroglycerin 10 to 20 ug/min IV
      2. Consider Nitroprusside 0.1 to 5.0 ug/kg/min IV
      3. Consider Dobutamine 2 to 20 ug/kg/min IV if no shock
      4. Consider Nesiritide (Natrecor) in refractory cases
    2. Systolic Blood Pressure 70 to 100 mmHg
      1. Dopamine 5 to 15 ug/kg/min IV
  5. Management: Additional Options
    1. Pulmonary artery catheter
    2. Intra-aortic balloon pump
    3. Coronary angiogram
  6. Prognosis
    1. Congestive Heart Failure Exacerbation Decision Rule
  7. References
    1. Ryan (2001) CMEA Internal Medicine Lecture, San Diego
    2. (2000) Circulation 102(suppl I):I-189

Shock, Cardiogenic (C0036980)

Definition (NCI) Shock resulting from primary failure of the heart in its pumping function, as in myocardial infarction, severe cardiomyopathy, or mechanical obstruction or compression of the heart.
Definition (CSP) shock reulting from the failure of the heart to maintain adequate output.
Definition (MSH) Shock resulting from diminution of cardiac output in heart disease.
Definition (NCI) Shock resulting from primary failure of the heart in its pumping function, as in myocardial infarction, severe cardiomyopathy, or mechanical obstruction or compression of the heart.
Concepts Pathologic Function (T046)
MSH D012770
ICD9 785.51
ICD10 R57.0
SnomedCT 207027002, 158355003, 89138009
English Shock, Cardiogenic, SHOCK CARDIOGENIC, Shock, cardiogenic, Heart shock, Cardiogenic Shock, [D]Cardiogenic shock (context-dependent category), [D]Cardiogenic shock, [D]Heart shock, Cardiac shock syndrome, Power failure syndrome, cardiocirculatory collapse, [D]Cardiogenic shock (situation), cardiogenic shock, cardiogenic shock (diagnosis), Shock cardiogenic, SHOCK, CARDIOGENIC, CARDIOGENIC SHOCK, Shock, Cardiogenic [Disease/Finding], heart shocking, shock cardiogenic, shock heart, heart shock, Cardiogenic shock, Cardiogenic shock (disorder), cardiogenic; shock, shock; cardiogenic
Portuguese CHOQUE CARDIOGENICO, Choque cardiogénico, Choque Cardiogênico
Spanish SHOCK CARDIOGENICO, [D]choque cardiogénico (categoría dependiente del contexto), [D]Cardiogenic shock, [D]choque cardiogénico (situación), [D]shock cardiogénico, [D]choque cardiogénico, Choque Cardiogenico, Shock Cardiogenico, Choque Cardiogénico, Shock Cardiogénico, choque cardiógeno (trastorno), choque cardiógeno, shock cardiógeno, Shock cardiogénico
Dutch shock cardiogeen, cardiogeen; shock, shock; cardiogeen, cardiogene shock, Cardiogene shock, Shock, cardiogene
French Choc cardiogène, CHOC CARDOGENIQUE, Choc cardiogénique
German Kardialer Schock, Kardiogener Schock, SCHOCK KARDIOGEN, kardiogener Schock, Schock, kardialer, Schock, kardiogener
Japanese 心原性ショック, ｼﾝｹﾞﾝｾｲｼｮｯｸ
Swedish Chock, kardiogen
Czech šok kardiogenní, Šok kardiogenní, Kardiogenní šok
Finnish Kardiogeeninen sokki
Russian SHOK KARDIOGENNYI, ШОК КАРДИОГЕННЫЙ
Korean 심인성 쇼크
Polish Wstrząs kardiogenny
Hungarian Shock, cardiogen, Cardiogen shock
Italian Shock cardiogeno
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Acute congestive heart failure (C0264719)

Concepts Disease or Syndrome (T047)
SnomedCT 195109001, 10633002
English Congestive heart failure, acute, acute congestive heart failure, Acute congestive heart failure, Acute congestive heart failure (disorder)
Spanish Acute congestive heart failure, fallo cardíaco congestivo agudo, insuficiencia cardíaca congestiva aguda (trastorno), insuficiencia cardíaca congestiva aguda
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Acute cardiac pulmonary edema (C0398350)

Concepts Disease or Syndrome (T047)
SnomedCT 233704001, 360371003
Spanish Acute cardiac pulmonary edema, Acute cardiac pulmonary oedema, Acute cardiac pulmonary oedema [Ambiguous], edema agudo de pulmón de causa cardíaca, edema agudo de pulmón de causa cardíaca (trastorno), edema pulmonar agudo por causa cardíaca (trastorno), edema pulmonar agudo por causa cardíaca, edema pulmonar cardiogénico
English acute cardiac pulmonary edema (diagnosis), acute cardiac pulmonary edema, Acute cardiac pulmonary oedema (disorder), cardiogenic pulmonary oedema, cardiogenic pulmonary edema, Acute cardiac pulmonary edema, Acute cardiac pulmonary oedema, Cardiogenic pulmonary edema, Cardiogenic pulmonary oedema, Acute cardiac pulmonary edema (disorder), Acute cardiogenic pulmonary edema, Acute cardiogenic pulmonary oedema, Acute cardiac pulmonary oedema [Ambiguous]
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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