Cardiogenic shock
Alternative names:
shock - cardiogenic
Treatment:
Cardiogenic shock is a medical emergency! Treatment requires
hospitalization. The goal of treatment is to save the patient's
life and treatment of the cause of shock.
Dopamine, dobutamine, epinephrine, digoxin, norepinephrine,
amrinone or other medications may be required to increase
blood pressure and heart
functioning. Analgesics
may be given if necessary. Bedrest is recommended to reduce
demands on the heart.
Oxygen reduces the workload of the heart by reducing tissue
demands for blood flow.
Intravenous fluids, including
blood and blood products, may be given if indicated.
Other treatments of shock may include:
- cardiac pacing (pacemaker)
- heart monitoring, including hemodynamic monitoring, to
guide treatment
- intra aortic balloon counterpulsation (IABP) to improve
heart and blood vessel (cardiovascular)
function
Note: Surgical repair of the cause should be performed if
it is feasible. Balloon angioplasty
(PTCA) may be an alternative
to surgery in some cases.
Expectations (prognosis):
Approximately 80% of cases of cardiogenic shock are fatal
even with treatment.
Complications:
Calling your health care provider:
Go to the emergency room or call the local emergency number
(such as 911) if symptoms are present. Cardiogenic shock is
a medical emergency!
Updated Date: 02/09/00
Updated By:J. Gordon Lambert, MD, Associate Medical Director,
Utah Health Informatics and adam.com
editorial
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