Management of Cardiogenic Shock in a Cardiac Intensive Care Unit
Ju H. Kim, Anusha Sunkara, Sara Varnado
Abstract
Cardiogenic shock (CS) is a complex condition characterized by end-organ hypoperfusion and requiring pharmacologic and/or mechanical circulatory support. It is caused by a decline in cardiac output due to a primary cardiac disorder. CS is frequently complicated by multiorgan system dysfunction that requires a multidisciplinary approach in a critical care setting. Appropriate use of diagnostic data using tools available in a modern cardiac intensive care unit should guide optimal management incorporating both pharmacologic and nonpharmacologic therapies to minimize morbidity and mortality.
Topics & Concepts
MedicineCardiogenic shockIntensive care unitIntensive care medicineShock (circulatory)Organ dysfunctionIntensive careLevosimendanCardiac dysfunctionCardiologyInternal medicineMyocardial infarctionInotropeHeart failureSepsisMechanical Circulatory Support DevicesCardiac Arrest and ResuscitationHeart Failure Treatment and Management