Cardiogenic shock: symptoms, causes, treatment, etc. & bull; hello healthy

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Definition

What is cardiogenic shock?

Cardiogenic shock is a serious condition when the heart suddenly cannot pump enough blood containing food and oxygen to various organs of the body. Cardiogenic shock is an emergency condition that requires special treatment as soon as possible.

One of the most common causes of cardiogenic shock is a heart attack. In addition, other health problems that can trigger heart shock are heart failure, heart rhythm problems, heart electrical problems, to heart valve problems.

If the heart cannot supply blood and oxygen to the brain and other vital organs, the body's functions will be impaired. From starting the blood pressure automatically drops, the pulse slows down, and you may feel confusion, loss of consciousness, sweating, and breathing faster.

How common is cardiogenic shock?

Cardiogenic shock is a fairly rare condition. Women tend to be more prone to this condition than men. The average age of people suffering from this disease is 65 years and over.

In addition, cardiogenic shock was more prevalent in Asia Pacific people with a rate of 11.4% of cases, compared to white people (8%), black people (6.9%), and Hispanic people (8.6%). %).

Although cardiogenic shock situations are rare, they can be fatal if not treated promptly. The estimated death rate caused by this condition is 70 to 90 percent.

If you get treatment right away, there is a big chance to move on. Please discuss with your doctor for more information.

Signs & symptoms

What are the symptoms of cardiogenic shock?

Cardiogenic shock can show different signs and symptoms. However, most of the time, the symptoms will appear immediately in a short time.

There are many symptoms that may be seen when heart shock occurs, including:

• Breath feels faster
• Heavy shortness of breath
• Sudden fast heartbeat (tachycardia)
• Low blood pressure
• Loss of consciousness
• Weak or fast pulse
• Heavy sweating
• The frequency of urinating is less than usual or not at all
• Chest pain
• Restlessness, agitation, confusion and dizziness
• Skin feels cold to the touch
• Pale or acne-prone skin

There may be signs and symptoms not listed above. If you have concerns about a particular symptom, consult your doctor.

When should I see a doctor?

If you have any signs or symptoms listed above, visit the nearest doctor immediately.

By getting heart attack treatment as early as possible, it will increase your chances of survival and minimize damage to your heart.

Complications

In more severe cases of cardiogenic shock, the body's organs don't get enough oxygenated blood. This condition can result in permanent damage to vital organs in your body, such as:

• Brain damage
• Kidney failure
• Liver damage

Cause

What causes cardiogenic shock?

Cardiogenic shock is a condition commonly caused by heart problems that cause the heart to fail to pump blood around the body. The most common cause of cardiogenic shock is a heart attack.

A heart attack can affect the structures in the heart in such a way that blood flow to and from the heart can become blocked and cause cardiogenic shock.

Some of the health problems that usually trigger cardiogenic shock are:

1. Heart attack and other heart problems

The symptoms and signs of cardiogenic shock appear most rapidly when a person has a heart attack. This condition can damage the muscles and tissues in the heart.

Not only that, heart attacks can also cause rupture of the papillary muscles of the heart and damage to the lower ventricular spaces of the heart.

Other conditions such as heart failure or arrhythmias can prevent the heart from circulating blood throughout the body. In addition, it may be caused by heart valve disorders and disturbances in heart rhythm

2. Other organs with problems

Cardiogenic shock can also be caused by problems with organs other than the heart, such as a buildup of fluid in the chest resulting in cardiac tamponade and pulmonary embolism.

Risk factors

What increases my risk for cardiogenic shock?

Cardiogenic shock can affect anyone. However, there are several factors that can increase your risk of developing this condition, such as age, history of disease, and gender. Here's the explanation:

1. Age

People aged 75 years and over are prone to cardiogenic shock.

2. Cardiovascular problems

Heart and blood vessel disease can also increase your risk of developing heart shock, such as heart attack, heart failure, inflammation, heart ischemia, heart valve damage, and many more.

3. Other health problems

Other health conditions that have the potential to trigger cardiogenic shock are diabetes, obesity, pneumothorax, and sepsis.

4. Have had a medical procedure

You will likely go into cardiogenic shock if you have had heart bypass or CABG surgery procedures in the past.

5. Race or ethnicity

Asian-Americans and Pacific people have a higher risk of developing this disease. Additionally, people from the Hispanic and African-American ethnic groups are less likely to develop this disease.

6. Gender

Cardiogenic shock cases are more common in women than men.

Medicines & Medicines

The information provided is not a substitute for medical advice. ALWAYS consult your doctor.

How is cardiogenic shock diagnosed?

Before diagnosing, the doctor will ask you what symptoms and signs you feel, what your medical history and family history are, and what medications you are currently undergoing.

Then, the doctor will check vital signs such as measuring blood pressure, pulse, breath and body temperature. In addition, a complete physical examination and several tests will be performed to diagnose a cardiogenic shock situation. The supporting examinations that will be carried out are

1. Blood test

This test aims to measure the levels of oxygen and carbon dioxide in the blood vessels. In addition, blood tests can also help check lactate levels in the heart, liver and kidneys.

2.Electrocardiogram (EKG)

Used to diagnose that you have a heart attack. This test records the electrical activity of your heart through electrodes attached to your skin. Then, an impulse appears which will be displayed on the monitor or printed on paper.

3. Echocardiogram

This test uses sound waves that produce images of the heart to determine damage resulting from a heart attack.

Furthermore, the sound waves travel directly to the heart from a device that is placed over your chest and provides a video image of your heart.

This tool can help doctors see if there are blockages in blood flow, decreased heart pump function and abnormalities in heart valves.

4. Chest X-ray

This photo test allows your doctor to check the size, shape of your heart, blood vessels, and whether there is fluid in your lungs.

5. Angiogram or coronary catheterization

The liquid dye is injected through a long, thin tube and inserted through an artery, usually in your leg, then travels to an artery in your heart. When the colored fluid fills the artery, it will look on an X-ray and reveal areas of blockage or narrowing.

How to treat cardiogenic shock?

During this treatment, the patient will be given additional oxygen to breathe, to minimize damage to muscles and organs.

In some cases, the doctor will connect a breathing machine to help the patient breathe. In addition, you will also receive medicines and fluids through an IV in your arm.

1. Medicines

There are several types of drugs to treat cardiogenic shock that are tasked with increasing blood through the heart and increasing the heart's pumping ability.

Aspirin

You will be given aspirin after emergency medical personnel arrive on the scene or as soon as you arrive at the hospital. This will reduce blood clotting and help keep your blood flowing through the narrowed arteries.

Thrombolytics

The earlier you receive thrombolytic drugs after a heart attack, the better your chances of survival and less damage to your heart.

However, you will only receive thrombolytics only when emergency cardiac catheterization is not available.

Superaspirin

Similar to aspirin, superaspirin works by helping to prevent new blood clots from forming.

Other blood thinners

Blood thinners such as heparin will be given by the doctor to treat blood clots. Heparin intravenously or by injection is usually given during the first few days after a heart attack.

Inotropic agent

You may be given this drug, to improve and support your heart function until other treatments start to work.

2. Medical procedures

Medical procedures to treat cardiogenic shock usually focus on restoring blood flow through your heart. Among them:

Angioplasty and stenting

The doctor will insert a long, thin tube equipped with a special balloon through an artery, usually in your leg, for the blocked artery in your heart when a blockage is found during cardiac catheterization.

Then, the balloon is inflated to open the blockage. A mesh stents A metal (small mesh) tube can be inserted into the artery to keep it open over time.

Balloon pump

The doctor inserts a balloon pump in the main artery of your heart. The pump expands and contracts inside the aorta, helping blood flow and taking some of the workload off your heart.

If medications and medical procedures don't work to treat cardiogenic shock, your doctor may suggest surgery.

Coronary artery bypass surgery

Your doctor may recommend this procedure after your heart has had enough time to recover from a heart attack. Sometimes, bypass surgery is performed on an emergency basis.

Surgery to repair damage to the heart

A heart that is damaged by injury, such as a tear in one of the chambers of the heart or a heart valve, can cause cardiogenic shock. The doctor may recommend surgery to correct the problem.

Heart pump

This device is a mechanical device that is implanted into the stomach and attached to the heart to help it pump.

Heart pumps are used in cases to improve the lives of patients with end-stage heart failure, who are unable to undergo a heart transplant or are waiting for a new heart donor.

Heart transplant

This procedure is a last resort if your heart is so damaged that no other treatment can work.

Home remedies

What are some lifestyle changes or home remedies that can be done to treat cardiogenic shock?

Here are lifestyle and home remedies that can help you reduce your risk of cardiogenic shock:

• Control of high blood pressure (hypertension): the patient should do exercise, manage stress, maintain a healthy body weight, and limit salt, alcohol to maintain hypertension levels. Also, your doctor may prescribe medication to treat hypertension.
• Do not smoke.
• Maintaining a healthy weight will lower your blood pressure and raise your cholesterol levels.
• Reducing dietary cholesterol and fats, especially saturated fat, can reduce the risk of heart disease. If you can't control your cholesterol through diet changes alone, your doctor may prescribe a cholesterol-lowering medication.
• Exercising regularly can lower your blood pressure, increase high-density lipoprotein (HDL) cholesterol levels and improve overall heart and blood vessel health. It also helps you control your weight, control diabetes and reduce stress.

If you have a heart attack, prompt action can help prevent cardiogenic shock. Get emergency medical help right away if you think you are having a heart attack.

If you have any questions, consult your doctor for the best solution to your problem.

Hello Health Group does not provide medical advice, diagnosis or treatment.