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Cardiogenic Shock - Coggle Diagram

- - - - Alcohol
      - Toxins eg heavy metals
      - Drugs eg doxorubicin
      - Paripartum
    - - Infiltration eg Sarcoid, amyloid, haemachromatosis
      - Radiation
    - - HOCM
- - - - Low doses Beta affect
      - High doses alpha affect
    - - Beta 1 increase HR
      - Beta 2 causes <SVRI
    - - Low dose dopaminergic receptors
      - Medium dose beta affect
      - Low dose alpha eefect
  - - - PDE 3
        
        contractility
        
        Lusitropy
        
        Systemic adn pulmonary vasodilation
    - - Sensitises trop C to calcium
      - CO with oxygen demand
      - Lusitropy
      - Systemic and pulmonary vasodilation
      - LIDO study
  - - - Primarily alpha 1
    - - V1 vasocontriction
      - V2 Water retention
- - - - Preload
      - beta blockade if diastolic dysfunction
      - Sedation
    - - Vasodilators
      - Diuretics
      - IABP
  - - - IABP
      - Inotropes (may increase V02)
    - - Fi02
      - Consider blood transfusion