RT Book, Section
A1 Hiestand, Brian
A2 Cline, David M.
A2 Ma, O. John
A2 Cydulka, Rita K.
A2 Meckler, Garth D.
A2 Handel, Daniel A.
A2 Thomas, Stephen H.
SR Print(0)
ID 56272070
T1 Chapter 19. Cardiogenic Shock
T2 Tintinalli's Emergency Medicine Manual, 7e
YR 2012
FD 2012
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-178184-8
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=56272070
RD 2024/04/25
AB Cardiogenic  shock  occurs  when  there  is  insufficient  cardiac  output  to  meet  the  metabolic  demands  of  the  tissues.  It  is  most  commonly  due  to  an  acute  myocardial  infarction  (AMI)  that  is  extensive,  impairs  right  ventricular  contractility,  or  causes  a  rupture  of  a  papillary  muscle.  Other  etiologies  to  consider  include  cardiotoxic  drug  effects,  infection  (myopericarditis,  endocarditis),  and  mechanical  dysfunction  (valvular  disease,  pulmonary  embolism,  cardiac  tamponade,  myocardial  contusion).  Early  stabilization  and  treatment  are  critical,  as  mortality  approaches  50%  for  AMI  complicated  by  cardiogenic  shock.