evidence of tissue
hypoperfusion, such as oliguria, cyanosis, cold limbs, and
alterations in the consciousness level. Persistence of the
shock status after correction of myocardial and extracardiac
factors that contribute to the reduction of tissue perfusion,
such as hypovolemia, arrhythmias, hypoxia, metabolic and
acid-base balance disorders, confirm the diagnosis of
cardiogenic shock. When invasive hemodynamic monitoring
is available, diagnosis is made if the following alterations
are found 4 (the following values vary in the medical
literature): SBP 18mmHg; cardiac index 2000 dyne/s/cm5/m2; increase in the
arteriovenous oxygen content difference >5.5ml/dL.
evidence of tissuehypoperfusion, such as oliguria, cyanosis, cold limbs, andalterations in the consciousness level. Persistence of theshock status after correction of myocardial and extracardiacfactors that contribute to the reduction of tissue perfusion,such as hypovolemia, arrhythmias, hypoxia, metabolic andacid-base balance disorders, confirm the diagnosis ofcardiogenic shock. When invasive hemodynamic monitoringis available, diagnosis is made if the following alterationsare found 4 (the following values vary in the medicalliterature): SBP <90mmHg; pulmonary capillary pressure>18mmHg; cardiac index <1.8l/min/m2; systemic vascularresistance index >2000 dyne/s/cm5/m2; increase in thearteriovenous oxygen content difference >5.5ml/dL.
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