Cardiogenic Shock — SCAI A to E, and why the cuff lies

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Cardiogenic shock (CS) is a state of end-organ hypoperfusion due to cardiac pump failure, defined for acute MI as systolic blood pressure below 90 mmHg for at least 30 minutes (or needing inotropes/vasopressors to keep it above this), cardiac index below 2.2 L/min/m2, and signs of hypoperfusion (cool peripheries, oliguria under 0.5 mL/kg/hour, altered mentation, raised lactate), with pulmonary capillary wedge pressure over 18 mmHg (confirming a cardiac cause). Full topic, figures, and citations: https://medvellum.com/topics/cardiogenic-shock Chapters 00:00 The one-line answer 01:28 Meet the…

• Duration 1:05Cardiogenic Shock — The viva honesty line — Cardiogenic Shock5 Sept 2026