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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edit dx infobox
Category/Organ System:	Category: Cardiovascular Problems (old)
Type:	[[:Category: Medical Problem (old)]][[Category: Medical Problem (old)]]
Main Diagnosis:	Cardiogenic Shock
Sub Diagnosis:	YES -See Cardiogenic Shock
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 simple minimal criteria though 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 
* CI < 2.2 
* PWP > 20
* Requiring inotropic support
* Ejection fraction <35% 
* Current diagnosis of ACS or cardiomyopathy or 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 is 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)