ICU SAQs · Resuscitation & shock
Cardiogenic shock — the haemodynamic management
A CICM SAQ on cardiogenic shock — the revascularisation, the inotrope, the vasopressor, the MCS.
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Prompt
A 65-year-old with an anterior STEMI has a MAP of 55, cool peripheries, oliguria, and pulmonary oedema despite furosemide and oxygen. Echo shows LV EF 25 per cent. Outline the management.
Question
A 65-year-old with an anterior STEMI has a MAP of 55, cool peripheries, oliguria, and pulmonary oedema despite furosemide and oxygen. Echo shows LV EF 25 per cent. Outline the management.
References4ShowHide
- [1]Schaubroeck H, Rossberg M, Thiele H, et al. ICU management of cardiogenic shock before mechanical support. Current Opinion in Critical Care, 2024.PMID 38872375
- [2]Lim HS, González-Costello J, Belohlavek J, et al. Hemodynamic management of cardiogenic shock in the ICU. Journal of Heart and Lung Transplantation, 2024.PMID 38518863
- [3]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.
- [4]Hochman JS, Sleeper LA, Webb JG, et al. Early revascularization in acute myocardial infarction complicated by cardiogenic shock. SHOCK Investigators. Should We Emergently Revascularize Occluded Coronaries for Cardiogenic Shock N Engl J Med, 1999.PMID 10460813