Identifying cardiogenic shock in the emergency department
Autor: | Madison Daly, Alex Koyfman, Brit Long, Skyler Lentz |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Multiple Organ Failure Point-of-Care Systems Myocardial Infarction Shock Cardiogenic Pulmonary Edema Physical examination Kidney Function Tests Sepsis Electrocardiography 03 medical and health sciences 0302 clinical medicine Liver Function Tests Tachycardia Natriuretic Peptide Brain Bradycardia medicine Edema Humans In patient Lactic Acid Myocardial infarction Confusion Intensive care medicine Physical Examination Heart Failure Heart Murmurs medicine.diagnostic_test business.industry Cardiogenic shock 030208 emergency & critical care medicine General Medicine Emergency department medicine.disease Peptide Fragments Troponin Early Diagnosis Echocardiography Shock (circulatory) Emergency Medicine Acidosis Lactic Hypotension medicine.symptom Emergency Service Hospital business Clinical evaluation |
Zdroj: | The American Journal of Emergency Medicine. 38:2425-2433 |
ISSN: | 0735-6757 |
Popis: | Introduction Cardiogenic shock is difficult to diagnose due to diverse presentations, overlap with other shock states (i.e. sepsis), poorly understood pathophysiology, complex and multifactorial causes, and varied hemodynamic parameters. Despite advances in interventions, mortality in patients with cardiogenic shock remains high. Emergency clinicians must be ready to recognize and start appropriate therapy for cardiogenic shock early. Objective This review will discuss the clinical evaluation and diagnosis of cardiogenic shock in the emergency department with a focus on the emergency clinician. Discussion The most common cause of cardiogenic shock is a myocardial infarction, though many causes exist. It is classically diagnosed by invasive hemodynamic measures, but the diagnosis can be made in the emergency department by clinical evaluation, diagnostic studies, and ultrasound. Early recognition and stabilization improve morbidity and mortality. This review will focus on identification of cardiogenic shock through clinical examination, laboratory studies, and point-of-care ultrasound. Conclusions The emergency clinician should use the clinical examination, laboratory studies, electrocardiogram, and point-of-care ultrasound to aid in the identification of cardiogenic shock. Cardiogenic shock has the potential for significant morbidity and mortality if not recognized early. |
Databáze: | OpenAIRE |
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