Document Detail

Cardiogenic shock without a critically raised left ventricular end diastolic pressure: management and outcome in eighteen patients.
MedLine Citation:
PMID:  3718792     Owner:  NLM     Status:  MEDLINE    
Eighteen patients in whom shock developed after acute myocardial infarction are described. There was electrocardiographic evidence of acute inferior infarction in 11, of inferolateral infarction in three, and of anteroseptal infarction in four. In all cases the right atrial pressure was the same as or exceeded the end expiratory pulmonary artery wedge pressure. Plasma volume expansion of 100-2500 ml was needed to produce an optimum pulmonary artery wedge pressure. Eleven patients needed additional inotropic support with dopamine. Despite the absence of a critical increase in pulmonary artery wedge pressure, potential or actual hypoxia was almost always present. Six patients needed endotracheal intubation and mechanical ventilation because they had severe hypoxia that was unresponsive to supplemental inspired oxygen. Life threatening arrhythmias were also common (ventricular fibrillation in seven patients and complete heart block in four). Five patients died. All surviving patients are well and only one requires treatment for heart failure.
D Edwards; S Whittaker; A Prior
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British heart journal     Volume:  55     ISSN:  0007-0769     ISO Abbreviation:  Br Heart J     Publication Date:  1986 Jun 
Date Detail:
Created Date:  1986-08-12     Completed Date:  1986-08-12     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0370634     Medline TA:  Br Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  549-53     Citation Subset:  AIM; IM    
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MeSH Terms
Anoxia / complications
Blood Gas Analysis
Heart Rate
Middle Aged
Myocardial Infarction / complications*
Oxygen / blood
Plasma Volume
Pulmonary Wedge Pressure
Shock, Cardiogenic / blood,  etiology*,  physiopathology
Reg. No./Substance:

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