Pediatr Emerg Med J.  2020 Dec;7(2):61-69. 10.22470/pemj.2020.00192.

Cardiogenic shock

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine, Seoul, Korea
  • 2Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea

Abstract

Cardiogenic shock is an acute circulatory failure due to compromised myocardial contractility associated with congenital heart diseases and cardiomyopathies, such as myocarditis. In this article, the authors present a 3-step overview of cardiogenic shock diagnosis and management to restore tissue oxygen delivery. The first step is early recognition of nonspecific signs of the shock. The second step is medical management, monitoring, and repeated assessment. In addition to conventional parameters, biomarkers may be useful to monitor the shock. The final step is mechanical circulatory support, such as ventricular assist devices, for children with the refractory shock. We also briefly describe the shock in multisystem inflammatory syndrome in children with coronavirus disease 2019.

Keyword

Cardiovascular System; Child; Extracorporeal Membrane Oxygenation; Heart-Assist Devices; Shock, Cardiogenic
Full Text Links
  • PEMJ
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr