Cardiogenic Shock: Difference between revisions

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{{DX tag | Cardiovascualar | Medical Problem | Cardiogenic Shock |
{{PreICD10 dx | NewDxArticle = Shock, cardiogenic}}  
Cardiogenic Shock secondary to:
* 1 - MYOCARDIAL INFARCTION
*2 -  Cardiomyopathy
*3 -  POISONING / CYTOTOXIC AGENTS
*4 -  VALVULAR DISEASE
*5 -  POST OPERATIVE
*6 -  ETIOLOGY UNKNOWN
*8 -  IATROGENIC DRUG INDUCED
*90 - OTHER
| 101-** | '''Critical Care and Medicine''' | Currently Collected | |}}


== Definition ==
{{DX tag | Cardiovascular Problems |Medical Problem| Cardiogenic Shock |
* Definite pulmonary edema
* 10100 - CARDIOGENIC SHOCK
* CI < 2.2
* 10101 -  Myocardial Infarct
* PWP > 20
* 10102 -  Cardiomyopathy
* If CI is unavailable, anion gap metabolic acidosis would qualify:
* 10103 -  Poisoning/Cytotoxic Agents
** (NA – CL + SERUM CO2 OR HCO3) (ABNORMAL IF )
* 10104 - Valvular Disease
* Requiring inotropic support
* 10105 -  Post OP
 
* 10106 -  Etiology NYD
=== Discussion ===
* 10108 -  Iatrogenic- Drug Induced
{{discussion}}
* 10190 - Other
* Anion gap would qualify if CI is absent... how about if CI is present?
* 10197 -  this hosp adm but prior to ward adm
 
| 10100 - Cardiogenic Shock | NO | 0 | '''Critical Care and Medicine''' | Currently Collected | |}}
* [[User:Ttenbergen|Ttenbergen]] 14:06, 28 May 2009 (CDT) can I change
** (NA – CL + (SERUM CO2 OR HCO3)) (ABNORMAL IF > 12 + PH < 7.23)
* to  
** Abnormal if both
*** (NA – CL + (SERUM CO2 OR HCO3)) > 12  
*** PH < 7.23
 
* Medicine shouldn't have the diagnosis of cardiogenic shock since we don't have the SG cath and we don't run inotropes. I guess it could be an acquired diagnosis if you had an ion gap measured and they started inotropes on the ward before admission to ICU?[[User:GHall|GHall]] 17:15, 25 June 2008 (CDT)


== Guidelines ==
:ICU:  These are meant to be criteria to consider in cardiogenic shock.  It is understood that not all patients will fall nicely into all listed criteria.  Remember, use your judgement.........
#  the patient is in shock
#  there is no evidence of septic, hypovolemic or distributive shock or if these are present, there is also evidence of cardiac insult. 
#  parameters to consider for diagnosis of cardiogenic shock:
#*Definite pulmonary edema
#*May require ventilation for pulmonary edema.
#*May require IABP
#*CI < 2.2
#*PWP > 20
#*Requiring inotropic support
#*Ejection fraction <35%
#*Current diagnosis of ACS or cardiomyopathy
#*Current diagnosis of severe cardiac valve disease.


===Medicine ward===
* Is not normally managed on a medicine ward therefore we would not see it as an admitting diagnosis.  Cardiogenic shock can be a '''complication''' that occurs on a medicine ward which usually requires a transfer to the ICU unless the patient receives palliative care or dies before being sent to the ICU. [[User:TOstryzniuk|TOstryzniuk]] 18:50, 1 June 2009 (CDT)


== Legacy ==
== Legacy ==
* Subdx 7 had nothing listed behind it so I did not include it here. Did we use to use it? if so, we should list it under a legacy section in this article. [[User:Ttenbergen|Ttenbergen]] 11:26, 5 June 2008 (CDT)
* SubDX 7-Never used.[[User:TOstryzniuk|Trish Ostryzniuk]] 17:32, 2012 June 20 (CDT)
 
 
[[Category: Diagnosis Coding]]
[[Category: Cardiovascular Problems]]
[[Category: Questions_Diagnosis]]

Latest revision as of 08:43, 24 January 2019


Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Shock, cardiogenic

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System:
Category: Cardiovascular Problems (old)

Type:

Category:Medical Problem (old)

Main Diagnosis: Cardiogenic Shock
Sub Diagnosis:
  • 10100 - CARDIOGENIC SHOCK
  • 10101 - Myocardial Infarct
  • 10102 - Cardiomyopathy
  • 10103 - Poisoning/Cytotoxic Agents
  • 10104 - Valvular Disease
  • 10105 - Post OP
  • 10106 - Etiology NYD
  • 10108 - Iatrogenic- Drug Induced
  • 10190 - Other
  • 10197 - this hosp adm but prior to ward adm
Diagnosis Code: 10100 - Cardiogenic Shock
Comorbid Diagnosis: NO
Charlson Comorbid coding (pre ICD10): 0
Program: Critical Care and Medicine
Status: Currently Collected


Guidelines

ICU: These are meant to be criteria to consider in cardiogenic shock. It is understood that not all patients will fall nicely into all listed criteria. Remember, use your judgement.........
  1. the patient is in shock
  2. there is no evidence of septic, hypovolemic or distributive shock or if these are present, there is also evidence of cardiac insult.
  3. parameters to consider for diagnosis of cardiogenic shock:
    • Definite pulmonary edema
    • May require ventilation for pulmonary edema.
    • May require IABP
    • CI < 2.2
    • PWP > 20
    • Requiring inotropic support
    • Ejection fraction <35%
    • Current diagnosis of ACS or cardiomyopathy
    • Current diagnosis of severe cardiac valve disease.

Medicine ward

  • Is not normally managed on a medicine ward therefore we would not see it as an admitting diagnosis. Cardiogenic shock can be a complication that occurs on a medicine ward which usually requires a transfer to the ICU unless the patient receives palliative care or dies before being sent to the ICU. TOstryzniuk 18:50, 1 June 2009 (CDT)

Legacy