Persistent hypotension and tissue hypoperfusion due to cardiac dysfunction in the presence of adequate intravascular volume and left ventricular (LV) filling pressure
Most common caus...
ABCs and vital signs:
Patent airway (early)
Labored breathing and tachypnea (early); respiratory failure (late)
Diffuse crackles or wheezing
Systolic BP <...
ABCs, IV access, O2, monitor
Consider fluid bolus if no crackles
Nitroglycerin or morphine sulfate for chest pain in absence of hypotension
Transport AMI patients to facility...
Cardiogenic shock is the leading cause of death in inpatient AMI.
Early recognition of preshock states is essential.
Early revascularization offers better outcomes.
De Backer D, Biston P, Devriendt J, et al. Comparison of dopamine and norepinephrine in the treatment of shock. N Engl J Med. 2010;362:779–789.
Peacock WF, Weber JE. Cardi...
89138009 Cardiogenic shock (disorder)
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