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Cardiovascular Emergencies    SAMPLE COURSE
Cardiogenic Shock

Cardiogenic shock occurs when the heart is seriously weakened and cannot pump enough blood to perfuse the body. This condition can be brought on when approximately 40% of the left ventricle is involved with an AMI.

Signs and symptoms of cardiogenic shock are similar to those of any other kind of shock. When you see shock in the absence of trauma, consider cardiac causes. The signs of cardiogenic shock include:

  • altered LOC
  • rapid, shallow breathing
  • restlessness and anxiousness
  • pale, cool skin
  • tachycardia/dysrhythmias
  • lowered blood pressure or hypotension

+ Elaboration — How AMI Results in Cardiogenic Shock

Cardiogenic shock is due to the impaired ability of the heart to pump. It can be caused by disorders of the heart muscle, the valves or the heart's electrical conduction system. Acute myocardial infarction is the most common cause.

Dead myocardium does not contract, therefore, a weakened heart cannot pump enough blood throughout the body. There is an adequate blood volume but failure to put the blood in circulation. Hypoxia results due to inadequate perfusion.

 

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