Cardiogenic Shock

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

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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

• SubDX 7-Never used.Trish Ostryzniuk 17:32, 2012 June 20 (CDT)