Cardiogenic shock
- Restore perfusion while treating the cause
- Norepinephrine is a common initial vasopressor
- Add inotrope when low cardiac output persists
- Acute MI → urgent revascularization
- Avoid excessive fluids when congested
- Mechanical support is selective—not routine
Use at a glance
- Restore perfusion while treating the cause
Practical pearls
- Norepinephrine is a common initial vasopressor
Choosing treatment
- Add inotrope when low cardiac output persists
Safety / pitfalls
- Acute MI → urgent revascularization
- Avoid excessive fluids when congested
- Mechanical support is selective—not routine
Self-check
- When is an inotrope added in cardiogenic shock?
Low cardiac output persists. - What is avoided in congested cardiogenic shock?
Excessive fluids when congested.
Drugs used for this (2)
All clinical uses · Open Cardiogenic shock in the interactive console ↗