Talk:Cardiogenic shock

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Contents 1 My 2 Merge 3 Signs 4 External links 5 Are cardiogenic shock and cardiac arrest the same thing? 6 Superfluous? 7 Cardiac Arrest & Cardiogenic Shock 8 Shock trial

[edit] My

My mother passed recently from cardiogenic shock. I'm just curious to know if cardiogenic shock is severly painfull?

It depends, but the symptoms of cardiogenic shock are severe heart failure and low blood pressure. This causes shortness of breath which may be severe, but the symptoms are not typically painful. JFW | T@lk 18:22, 31 October 2005 (UTC)

[edit] Merge

Keep this should anybody want to see what it was. Nomen Nescio 01:44, 30 March 2006 (UTC)

Cardiogenic shock Classification and external resources
ICD-10	R57.0
ICD-9	785.51

Cardiogenic shock results from the inability of the heart to pump blood through the body. It is the most serious consequence of myocardial infarction, but can also result from other cardiac emergencies, such as extrinsic compression (cardiac tamponade), ventricular arrhythmias, or outflow obstruction (e.g., pulmonary embolism). Prognosis of cardiogenic shock is usually poor since it is associated with extensive myocardial infarction (approximately 40% of the heart is dead). Mortality rates may be as high as 75%.

[edit] Signs

• cold clammy skin
• pulmonary congestion otherwise known as pulmonary edema.
• distended neck veins and jugular venous pressure (JVP)
• alternations in consciousness
• decreasing blood pressure

[edit] External links

• Definition and threshold of systolic blood pressure

[edit] Are cardiogenic shock and cardiac arrest the same thing?

Are cardiogenicc shock and cardiac arrest the same thing, or is it possible to be diagnosed with one condition but not the other? It would be helpful if th article either made clear that the terms are synonomous or explained the distinction. Also, the article uses "cardiigenic shock" for the first few paragraphs, then typically refers to "cardiac arrest." If they're the same thing, maybe the article should use a single term. Thanks, TheronJ 14:06, 30 March 2006 (UTC)

Also, I'm not a health care professional, so I don't know, but I note that the ICD-10 codes at the WHO state that the "cardiac arrest" code, I46, "excludes: Cardiac shock". Is anyone in a position to explain why the code excludes cardiac shock and in what circumstances a HCP should code a condition as one or the other? Thanks again,TheronJ 14:17, 30 March 2006 (UTC)

Thanks for pointing that out and helping out. Crdiac arrest and cardiogenic shock are not equal but extremely similar. Both result in loss of circulation due to failure of the heart to adequately pump blood for whatever reason. Technically arrest means acute cessation of circulation, this immediately leads to lack of oxygen in the tissues which constitutes shock ("the tissue perfusion is insufficient to meet the required supply of oxygen and nutrients").

Coding is more an administrative reference. So, those concerned (docters, biling office, "government" agencies as in CDC, etc) know what a patient was treated for, even 10 years from now. The doctor would use a medical chart to read about previous, or document curent findings and therapies. Nomen Nescio 14:52, 30 March 2006 (UTC)

Cardiac Arrest is when your heart stops beating ( Astystole ). Cardiogenic shock is when your heart is not beating efficientley. Cardiogenic shock is one of form of shock ( Shock is also called hypoperfusion, meaning insufficient perfusion AKA blood flow to the vital organs ). It is insufficient blood flow due to the heart ( Cardio ). The are other forms of shock such as neurogenic, septic and hypovolemic. Eithor way, shock is when your vital organs aren't recieving enough blood flow to stay alive. Shock will lead to cariac arrest if it isn't fixed but they are definitley not the same thing.

[edit] Superfluous?

After including some info from cardiac arrest I do feel that listing all causes of hypixemia (indirect?) could be taken out. It is a bit over the top. Nomen Nescio 23:50, 30 March 2006 (UTC)

[edit] Cardiac Arrest & Cardiogenic Shock

We seem to have cleared up the confusion between the two terms now on the Cardiac arrest page, but great confusion still seems to exist here. Propose a major re-write to remove this and to clear up the rest of the page; or merge with Shock - the article as it stands is really a mess.--John24601 09:17, 12 April 2006 (UTC)

You could suggest what part you think needs improving and why it is "really a mess." Merging however is a premature idea. Nomen Nescio 16:32, 12 April 2006 (UTC)

[edit] Shock trial

While dated, the shock trial [1] should be mentioned, since it's still the basis for who undergoes revascularization for shock and what medical therapy of shock entails.

I'll keep this article on my radar to work on after myocardial infarction. Ksheka 03:11, 18 December 2006 (UTC)