What Is Cardiogenic Shock? | Cardiogenic Shock vs Heart Failure

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What is Cardiogenic Shock?

Cardiogenic shock is defined as the heart suddenly stop the pumping of enough blood, and the heart’s inability to contract.

Due to the inappropriate blood supply that can lead to an inadequate amount of nutrients and oxygen.

Cardiogenic shock is lightly uncommon, but it’s a severe medical urgency for the patient when it occurs.

cardiogenic shock criteria
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Table of Contents

Sign and symptoms

  • Cardiogenic shock appears very quickly.
  • Shortness of breathe
  • Chest pain
  • Rapid but a quick heartbeat.
  • Feel like sweating.
  • Dizziness
  • Low urinary output

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Causes of cardiogenic shock

  • Blockage of the blood vessel in the lung.
  • damage to the wall of the heart due to increased heart pressure.
  • Damage to the valves 
  • Allowing the backflow of blood.
  • Muscles of the heart is not working properly
  • Smoke and drugs can also affect the heart’s ability to pumping and blood supply may lead to cardiogenic shock.
  • Acute MI
  • Severe hypoxemia
  • Cardiomyopathy 
  • Pericardial tamponade
  • Acidosis
  • Dysrhythmias
  • Trauma 
  • Structural abnormalities
  • Valvular abnormality
  • Ventricular septal rupture

Risk factors of cardiogenic shock

  • Diabetes
  • Old age
  • Obesity
  • Hypertension
  • Atherosclerosis
  • Coronary heart disease

To learn more, you can read:  Portal Hypertension

signs and symptoms cardiogenic shock

  • Chest pain
  • Dysrhythmia
  • Decreased cardiac output
  • Pricking pain in the chest
  • Decreased cardiac output.
  • Tachypnea, shortness of breath
  • Weak, thereby pulse
  • Sweating, cold hand & feet
  • Urine output <30 mL/hr 
  • Cool, pale, moist skin 

Diagnostic test

  • Blood pressure test
  • Electrocardiogram
  • Echocardiography
  • Chest X-ray
  • Cardiac enzyme test 
  • Coronary angiography 
  • Pulmonary artery catheterization
  • Blood tests: ABG, LFT(liver function test), RFT(renal function test)

Medical management

In Medicines you can take the following :

  • Dobutamine
  • Nitroglycerine (vasodilator)  
  • Dopamine 
  • Vasoactive medications 
  • Epinephrine 
  • Nor-epinephrine
  • Vasopressin (ADH)

Surgical management

If your doctor suggests, you do……

  • CABG (Coronary artery bypass graft)
  • Replacement of faulty cardiac valve 

Cardiogenic shock vs heart failure

Cardiogenic shock isn’t necessarily a discrete object but exceptionally may be conceptualized as the most severe form of heart failure.

Patients with difficult heart failure may go in and out of cardiogenic shock, depending on their management.

A severe heart attack most often causes this condition, but not everyone with a heart attack has a cardiogenic shock.

Complications of cardiogenic shock

  • Brain damage
  • Stroke
  • Heart attack
  • Kidney failure
  • Most importantly, if you have experienced a heart attack or any one of the symptoms, call to doctor in an emergency and take proper treatment. After that, exercise regularly to manage your weight. Eat healthy food to manage your diet.

heart and brain related condition that you might be interested in:

If you have any of these complications related to cardiogenic shock, let us know in the comment box. So we can help you.

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