FAQ - Shock, Cardiogenic
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What is the difference between heart faliure and cardiogenic shock?


By definition, shock is a state in which the perfusion is not adequate to maintain the metabolic needs of the bodys cells, if the underlying disease affects the myocardium then the condition is called cardiogenic shock since it is cardiogenic in origin.
Heart faliure is defined in my USMLE book as "inability of the heart to maintain an adequate output to meet the body's metabolic needs"
What is the difference between the two?
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This is a really great question! From my understanding they are essential the same. I think cardiogenic shock is considered a type of systolic heart failure.

The difference may be in the cause- most heart failures develop over time- from MIs, hypertrophy, hypertension...
Cardiogenic shock more often occurs as a result of a significant heart attack where, suddenly, it is unable to pump effectively.

I'm looking forward to reading other answers... maybe there is a bigger difference!?  (+ info)

what is the difference between cardiogenic shock and the heart failure?


Both due to insufficient supply of oxygen,but what's the difference?
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Difference Between Cardiogenic shock and the Heart Failure

*Cardiogenic shock is a disease state where the heart is damaged enough that it is unable to supply sufficient blood to the body.

*Cardiogenic shock is a very serious condition in which multiple organ systems begin to fail because the heart is unable to pump enough blood to the body.

"Cardiogenic shock occurs with severe heart failure"
*It is characterized by a low blood pressure (hypotension) associated with inadequate oxygenation of tissues (hypoperfusion). It may be caused by a heart attack (acute myocardial infarction), a large blood clot in the lungs (pulmonary embolus), or a mechanical dysfunction due to valvular heart disease.

Heart Failure means your heart can't pump enough blood to meet your body's needs.

"Causes"

*Heart failure often develops after other conditions have damaged or weakened your heart. Over time, the heart can no longer keep up with the normal demands placed on it to pump blood to the rest of your body  (+ info)

What is the estimated incident of cardiogenic shock after miocardio infarction?


Percentage wise, please.
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According to the New England Journal of Medicine, the incidence of cardiogenic shock complicating acute myocardial infarction is 7.5 percent.

The authors also found that the average incidence has remained very steady over time, neither increasing nor decreasing in percentage.  (+ info)

Cardiogenic Shock -What To Do?


Need help please for an essay...

If someone was to find someone suffering from cardiogenic shock, after calling an ambulance, what emergency aid would they perform whilst waiting for the ambulance?
lol i just meant if you were to find someone suffering this what would you do after calling 999? Just tryna swot up on emergency first aid, ive done the other types of shock but unsure about this
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I don't know why people assume that your a medic student. You are asking what to do whilst waiting for a medic. You could be writing an essay for secondary school or the scouts. I hope that's it. Anyhow, just google -Cardiogenic shock- Anyhow. DO NOT lay them down and raise their legs. This is not that hypovolemic shock. their pressure may be dropping, however, their lungs may be filling with fluid. If they are conscious,sit them up with legs dependant (hanging down). If they are unresponsive,try not lie them totally flat. If they are having trouble breathing and If you happen to have a BVM, use positive pressure ventilation (helping them to breath and get as much O2 as possible). You could do mouth to mouth with a pocket mask if that is all that's available. Cardiogenic shock often occurs in people that have had a previous heart attack and has about a 70% mortality rate. they need proper medical help immediately. I think it could be suspected (not diagnosed) if someone is found in such a state. As a medic, I use IV, O2 (often with positive pressure on the conscious or et airway on the unresponsive),continuously monitor vitals ECG, drug therapy (usually dopamine) and rapid transport. I hope that will help a little  (+ info)

doing CPR on someone that still has a pulse, can it cause cardiogenic shock?


Just FYI- as of 2006, the ECC guidelines for CPR as followed by the Red Cross and Heart Association allow us to do CPR on people with a pulse.

You should take a current CPR class for the full details, but briefly, because most people mess up the pulse and most adults who stop breathing need CPR, we no longer check for a pulse on an adult victim.  (+ info)

Cardiogenic Shock --> Diabetes?


Does diabetes affect the more chance of living from cardiogenic shock?
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  (+ info)

what the investigation for cardiogenic shock?


Cardiogenic shock is diagnosed with the insertion of a swan-ganz cathetor. It measures the hearts cardiac output and pressures within chambers of the heart, and the forces the heart is pumping against. In can also diagnose .pressure in the lungs. Other tests would be an ecg,chest x-ray, echo, coronary angiogram, foley cathetor, arterial line,arterial blood gases blood work,. oxygen saturation monitor,measurement of cardiac ouput and determining peripheral vascular resistance.. Most important, a good physical examination and a good history.  (+ info)

What drugs do you use to treat the following types of shock?


(I mean specifically inotropes/drugs pls)
- Hypovolemic = replace volume/electolytes, then?
- Cardiogenic = which inotropes/chromotropes?
- Septic = Antobiotic + supportive measurements then what inotropes/etc favored?
- Anaphylactic = Adrenaline infusion then?
Spinal = What is the treatment / drugs?

Thanks
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(1) for cardiogenic and hypovolomic shock
normal saline and atropine- Medicines such as dopamine, dobutamine, epinephrine, and norepinephrine may be needed to increase blood pressure and the amount of blood pumped out of the heart (cardiac output).
(2)for septi shock
* Drugs to treat low blood pressure, infection, or blood clotting which haparine,flucloxaciline, epinephrine.
* Fluids by a vein (intravenously)


* Oxygen
* Surgery
* Support for any poorly functioning organs
for anaphlactic shock
Mild cutaneous reaction will respond to intravenous or L M. adrenaline, 0. 5 ml 1: 1000 and to antihistamine.

Adrenaline, 0.5 ml 1:1000 intravenously also can be injected in remote areas (outreach of the medical facilities) by a special pen

Hydro cortisone, 500 mg, intravenously

Aminophylline 500 mgs IN. 6 hourly  (+ info)

What is the most common type of shock found in children?


Is it anaphylactic, cardiogenic, hypovolemic, septic, or neurogenic?
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most likely anaphylactic due to undiscovered allergies in children although the answer could be cardiogenic but cardiac deficiencies in children usually result from respiratory failure anyway so it would be hard to tell. hypovolemic could be up there too. it just kind of depends  (+ info)

How to deal with the shock and stress after a lifeguard had a rescue?


Three other lifeguards and i have to back board someone yesterday. We are all dealing with the stress and after shock from that.Myself and another lifeguard have not been able to sleep and have been very sick.We all have talked to our boss and tried not to think about it.What are some good ways to help with that just encase it happens again.Should we keep guarding or go home for the day?What could we do?
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If it was a successful rescue, remind yourselves of this. You were there and you responded correctly. This was a very traumatic situation. It's normal to feel the way you do. It's probably not very likely this will happen again so soon. As time passes you will gradually be able to settle down. You are a special person looking out for the safety of others.  (+ info)

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Last update: September 2014