症例 challenge · Cardiology / Critical care / Emergency · teaching

Cardiogenic Shock — Management Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on SCAI / 2025 ACC

Case #1Cardiology / Critical care / Emergency

📋 Case data

SCAI stage / hypoperfusion present?C–E: hypoperfusion / shock present

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · SCAI stage / hypoperfusion present?

SCAI stage / is there already hypoperfusion?

💡 Cardiac dysfunction → low output → end-organ hypoperfusion (AMI causes ~80%, mostly STEMI). Diagnosis: hypotension (SBP ≤90 for ≥30 min or vasopressors needed to keep >90) + hypoperfusion (cold extremities/altered mentation/oliguria/lactate ≥2); 'normotensive shock' exists (hypoperfusion without hypotension, higher risk). SCAI: A at-risk / B beginning (hypotension without hypoperfusion) / C classic (hypoperfusion ± 1 drug or device) / D deteriorating / E extremis (incl. arrest).

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.