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Vol. 48. Issue 10.
Pages 602-613 (October 2024)
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Vol. 48. Issue 10.
Pages 602-613 (October 2024)
Update in intensive care medicine: Cardiogenic shock
Hemodynamic monitoring and echocardiographic evaluation in cardiogenic shock
Monitorización hemodinámica y evaluación ecocardiográfica en el shock cardiogénico
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Ana Ochagavíaa,
Corresponding author
anaochagaviacalvo@gmail.com

Corresponding author.
, Nora Palomo-Lópezb, Virginia Frailec, Luis Zapatad
a Servicio de Medicina Intensiva, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain
b Servicio de Medicina Intensiva, Hospital Universitario Virgen del Rocío, Sevilla, Spain
c Servicio de Medicina Intensiva, Hospital Universitario Río Hortega, Valladolid, Spain
d Servicio de Medicina Intensiva, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain
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Table 1. Hemodynamic parameters.
Abstract

Cardiogenic shock (CS) is characterized by the presence of a state of tissue hypoperfusion secondary to ventricular dysfunction. Hemodynamic monitoring allows us to obtain information about cardiovascular pathophysiology that will help us make the diagnosis and guide therapy in CS situations. The most used monitoring system in CS is the pulmonary artery catheter since it provides key hemodynamic variables in CS, such as cardiac output, pulmonary artery pressure, and pulmonary artery occlusion pressure. On the other hand, echocardiography makes it possible to obtain, at the bedside, anatomical and hemodynamic data that complement the information obtained through continuous monitoring devices.

CS monitoring can be considered multimodal and integrative by including hemodynamic, metabolic, and echocardiographic parameters that allow describing the characteristics of CS and guiding therapeutic interventions during hemodynamic resuscitation.

Keywords:
Cardiogenic shock
Hemodynamic monitoring
Echocardiography
Resumen

El shock cardiogénico (SC) se caracteriza por la presencia de un estado de hipoperfusión tisular secundario a disfunción ventricular. La monitorización hemodinámica nos permite obtener información acerca de la fisiopatología cardiovascular que nos ayudará a realizar el diagnóstico y guiar la terapéutica en las situaciones de SC. El sistema de monitorización más utilizado en el SC es el catéter de arteria pulmonar puesto que proporciona variables hemodinámicas clave en el SC, como son el gasto cardíaco, la presión de arteria pulmonar y la presión de oclusión de arteria pulmonar. Por otro lado, la ecocardiografía permite obtener, a pie de cama, datos anatómicos y hemodinámicos que complementan la información obtenida mediante los dispositivos de monitorización continua.

La monitorización del SC puede considerarse multimodal e integradora al incluir parámetros hemodinámicos, metabólicos y ecocardiográficos que permiten describir las características del SC y guiar las intervenciones terapéuticas durante la reanimación hemodinámica.

Palabras clave:
Shock cardiogénico
Monitorización hemodinámica
Ecocardiografía

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