Heart Transplant: In severe cases, replace the heart.

Valve Repair/Replacement: Fix or replace faulty valves.

Revascularization: Restore blood flow in occluded vessels.

Improve Heart Contractility: Medications to enhance contraction.

Increase Systemic Vascular Resistance: Use vasopressors (e.g., norepinephrine, epinephrine).

Cardiac Index: <2.2 L/min/m² (standardized cardiac output).

PCWP: Elevated >18mm Hg (backup pressure in pulmonary arteries).

Echocardiogram: Assess heart contractility.

EKG: Identify arrhythmias or heart attacks.

Chest X-ray: Identify pulmonary congestion.

Troponins: Check for myocardial damage (e.g., heart attack).

Serum Lactate & ABG: Assess oxygenation and tissue utilization.

Ventricular Wall Stiffness: Limits contractility

Arrhythmias: Disrupted electric conduction

Valvular Problems: Damaged/narrowed aortic outflow tract

Correct Underlying Issues:

Cardiovascular Support:

Oxygen Support: Provide to ensure tissue oxygenation.

Important Measures:

Typical Labs:

Cool Skin: Blood diverted away from the skin to vital organs.

Organ Dysfunction: Decreased urine output, organ failure due to inadequate oxygenation.

Angina: Chest pain due to oxygen deprivation.

Jugular Venous Distention (JVD): Blood backs up into the venous system, distending the jugular vein.

Pulmonary Congestion: Blood backs up into the lungs, causing difficulty in breathing and a productive cough.

Heart Attacks (MIs): Major cause of cardiogenic shock

Failure Causes:

Cardiac Output: Essential for delivering oxygen and nutrients.

Function: Right heart pumps blood to the lungs; left heart pumps oxygenated blood to the body.

Compartments: Right atrium, right ventricle, left atrium, left ventricle.

Key Takeaway

Treatment of Cardiogenic Shock

Diagnosing Cardiogenic Shock

Symptoms of Heart Failure

Heart Function and Failure

Anatomy of the Heart

Cardiogenic Shock Lecture