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Analytic Reviews: Cardiogenic Shock with Preserved Systolic Function: A Reminder

Division of Cardiology, Department of Medicine, University of California, San Francisco, California, chatterj{at}medicine.ucsf.edu

Dana McGlothlin, MD

Division of Cardiology, Department of Medicine, University of California, San Francisco, California

Andrew Michaels, MD, MAS, FACC, FAHA

Division of Cardiology, University of Utah, Salt Lake City Utah

Although cardiogenic shock, whether acute or chronic, most frequently results from depressed left ventricular systolic function, the same syndrome can occur in patients with preserved systolic function. The etiologies and the pathophysiology of the syndrome of cardiogenic shock with preserved ejection fraction are distinctly different from those with reduced ejection fraction. The therapeutic approaches are also different. The prognosis of the patients with acute subset of this syndrome is very favorable, provided prompt diagnosis is made and appropriate treatment is provided. In this review, the important causes, pathophysiology, diagnosis, and therapies of patients with ``cardiogenic shock with preserved ejection fraction'' are discussed.

Key Words: cardiogenic shock • preserved ejection fraction

This version was published on November 1, 2008

Journal of Intensive Care Medicine, Vol. 23, No. 6, 355-366 (2008)
DOI: 10.1177/0885066608324250


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