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: Cardiovascualar (old)
Type:	Category: Medical Problem (old)
Main Diagnosis:	Cardiogenic Shock
Sub Diagnosis:	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
Diagnosis Code:	101-**
Comorbid Diagnosis:	Critical Care and Medicine
Charlson Comorbid coding (pre ICD10):	Currently Collected
Program:
Status:

Definition

• Definite pulmonary edema
• CI < 2.2
• PWP > 20
• If CI is unavailable, anion gap metabolic acidosis would qualify:
  • (NA – CL + SERUM CO2 OR HCO3) (ABNORMAL IF )
• Requiring inotropic support

Discussion

• Anion gap would qualify if CI is absent... how about if CI is present?

• 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?GHall 17:15, 25 June 2008 (CDT)

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. Ttenbergen 11:26, 5 June 2008 (CDT)