What the investigation for cardiogenic shock?

Question

What the investigation for cardiogenic shock?

Answer 1

a shock is a relative or absolute shortage of circulating volume.

There are many kinds of shock:

hypovolemic shock: a condition of to much blood loss (for example after a car accident with a major bleeding)

septic shock: a severe infection causes a strong reaction of the immune system including vasoldilatation (widening of bloodvessels). This will cause a relative shortage of circulating volume.

cardiogenic shock is also a relative shortage of circulating volume by vasodilatation combined with a badly reduced heart function.

All shocks (except for cardiogenic shock) are treated initially the same: make sure the patients gets more circulating volume by giving fluids/blood iv.

Cardiogenic shock will only respond by helping the heart (operation, some medicines etc.)

Answer 2

Cardiogenic shock is diagnosed with the insertion of a swan-ganz cathetor.  It measures the hearts cardiac output and  pressures within chambers of the heart, and the forces the heart is pumping against. In can also diagnose .pressure in the lungs. Other tests would be an ecg,chest x-ray, echo, coronary angiogram, foley cathetor, arterial line,arterial blood gases blood work,.  oxygen saturation monitor,measurement of cardiac ouput and determining peripheral vascular resistance.. Most important, a good physical examination and a good history.