Chapter 4: Echocardiography in acute heart failure and cardiogenic shock

The value of echocardiography in acute heart failure and cardiogenic shock includes its use for efficiently diagnosing cause, guiding management, quantifying response to therapy, and assessing prognosis, which may result in improved outcome.
The incidence of cardiogenic shock after myocardial infarction (MI) remains relatively unchanged, and it is still a major cause of death in patients hospitalized with acute MI.
The role of echo in cardiogenic shock is at least twofold. First, it is used early after presentation to assist in the rapid diagnosis of the cause of shock; second, it is used later to assess the response or effect of treatment.
The most common cause of post-MI cardiogenic shock is severe left ventricular (LV) dysfunction, but other causes include mechanical complications of MI and right ventricular (RV) infarction.
Early assessment of the severity of mitral regurgitation (MR) and the left ventricular ejection fraction (LVEF) are strong predictors of prognosis in patients with heart failure and those with cardiogenic shock.

Note: Videos do not contain any sound/audio description.

This content is restricted to only users who have bought the book. To get access to this content for this title please use the button below to request access. Please make sure you have a copy of the book if not then you can purchase one at www.routledge.com/9781032157009.