Cardiogenic shock

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Shock - cardiogenic

Cardiogenic shock is a medical emergency. Treatment requires hospitalization. The goal of treatment is to save the patient's life and treat the underlying cause of shock.

Dopamine, dobutamine, epinephrine, norepinephrine, amrinone, or other medications may be required to increase blood pressure and heart functioning. Pain medicine may be given if necessary. Bed rest 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.

Approximately 80% of cases of cardiogenic shock are fatal, even with treatment.

• Kidney damage
• Brain damage
• Liver damage

Go to the emergency room or call the local emergency number (such as 911) if symptoms are present. Cardiogenic shock is a medical emergency.

Review Date: 05/31/2006
Reviewed By: Glenn Gandelman, MD, MPH, Assistant Clinical Professor of Medicine, New York Medical College, Valhalla, NY. Review provided by VeriMed Healthcare Network.