Definition Cardiogenic Shock

Cardiogenic shock is a condition in which the heart suddenly experiencing severe disruption and is unable to supply sufficient blood in accordance with the needs of the body. This condition is usually a complication of a heart attack and require emergency care.

The total lack of oxygenated blood into the heart will damage the left ventricle, which is the heart's main pumping. The heart muscle will weaken and eventually lead to cardiogenic shock.

In addition to the weakening of the heart muscle, cardiogenic shock can also be triggered by some other heart disease such as heart rhythm problems harmful either rising or declining, pressure on the heart cavity due to accumulation of fluid in the vicinity, as well as heart valve disorders.

Symptoms and Risk Factors Cardiogenic Shock
Cardiogenic shock symptoms similar to heart failure, but the condition is more serious. Some general indication that we should be aware of include:

1. Shortness of breath and rapid.
2. The heart rate increased drastically (tachycardia).
3. Volume pulse weak.
4. Hands and feet are cold.
5. Sweating.
6. Pale.
7. Daze.
8. Loss of consciousness or fainting.
9. Frequency of urination is reduced or no urination.

If you experience any of these symptoms, immediately to the hospital. Especially for if you are elderly, have experienced a heart attack, heart failure, or blockages in more than one coronary artery, as well as hypertension or diabetes.

Diagnosis Cardiogenic Shock
Cardiogenic shock is generally known when you undergo emergency treatment. To confirm the diagnosis, the doctor will conduct some kind of inspection.

The process was conducted to determine the cause of cardiogenic shock you experienced. The examination and tests that usually you will live is:

1. Blood pressure checks. People with cardiogenic shock generally have lower blood pressure, which is below 90 mmHg.
2. The electrocardiogram (ECG) to check the electrical activity of the heart.
3. Echocardiogram. Examination using sound waves is done to look at the structure, thickness and movement of each heartbeat.
4. Chest X-rays performed to examine the physical structure and size of the heart at once whether or not the presence of fluid in the lungs.
5. A blood test to determine the level of damage to the heart, blood oxygen levels, infections, and heart attack.
6. Coronary angiography or cardiac catheterization. This examination has several objectives, namely to check the existence and severity of narrowing in the blood vessels of the heart, as well as the pressure in the chambers of the heart...

Cardiogenic Shock Treatment
Cardiogenic shock is included in the emergency medical condition. Therefore, the handling will be done in the hospital.

Patients generally need a supply of oxygen to assist breathing and to minimize damage to the heart and other organs. A ventilator or ventilator also sometimes needed, while drugs and fluids that the body needs to be channeled through an IV.

Drugs used in the treatment of cardiogenic shock has two benefits: increasing blood pressure and improve heart function. Several types of medications that may be given aspirin, thrombolytic and heparin to resolve blood clots and blood flow plus a drug that serves to strengthen and support the heart function.

Medical procedures such as mounting ring (stent) is currently undergoing coronary angiography or balloon pump installation in the blood vessels may also be conducted. This measure aims to improve blood flow to the heart by opening blood vessels to be easily traversed by blood.

The last step is usually done if medicines and other medical procedures does not help is operating. This type of surgery is recommended include:

1. Coronary artery bypass surgery (CABG). In this operation, the blood vessels taken from other organs will be connected in order to open a new route for blood flow to the heart. These actions such as providing alternative pathway of blood flow to the heart.
2. Operation repair injury to the heart, for example, to repair damaged valves or chambers of the heart wall is torn.
3. Installation of the heart pump. This process is generally recommended for patients with end-stage heart failure who can not undergo a heart transplant, or are waiting for a new heart from a donor.
4. Heart transplant. This step is taken if there is no other treatment that can be served by the patient.

Cardiogenic Shock Prevention
Preventing a heart attack is a major step to avoid cardiogenic shock. There are many simple preventive steps that we can do. Among others are:

1. Adopt a healthy lifestyle, such as maintaining a healthy diet and balanced, exercising, and maintaining a healthy weight.
2. Quit smoking. Smoking not only can increase the risk of heart attack, but also a variety of other diseases.
3. Tackling diseases that increase the risk of heart attack, such as hypertension and high cholesterol.

If you are having a heart attack, Handle immediately at the hospital to avoid the complication of cardiogenic shock.

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