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Description

The Society of Cardiovascular Angiography and Interventions (SCAI) reported a classification for cardiogenic shock. The authors are from multiple institutions in the United States, Canada and Germany.


Patient selection: cardiogenic shock

 

NOTE: This is similar to the hemodynamic profile for heart failure

 

Parameters:

(1) volume status (wet or dry)

(2) peripheral perfusion (cold or warm)

 

Volume Status

Peripheral Perfusion

Designation

dry

warm

vasodilatory shock (not cardiogenic shock)

dry

cold

mixed cardiogenic shock

wet

warm

euvolemic cardiogenic shock

wet

cold

classic cardiogenic shock

 

The cardiac index is increased for vasodilatory shock but low in cardiogenic shock.

 

Parameter

Dry

Wet

pulmonary capillary wedge pressure (PCWP)

low or normal

elevated

 

 

Parameter

Warm

Cold

systemic vascular resistance

low to normal

high

 


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