Hiltrud S. Mueller, M.D.; John J. Gregory, M.D., F.A.C.P.; Stephen M. Ayres, M.D., F.A.C.P.; Stanley Giannelli Jr., M.D.; William J. Grace, M.D., F.A.C.P.
This content is PDF only. Please click on the PDF icon to access.
Metabolic differences between coronary and noncoronary cardiogenic shock may explain reported differences in response to sympathiocomimetic amines. Cardiac index (CI), mean aortic pressure (MAP), coronary blood flow (CBF), myocardial oxygen consumption (MVO2), oxygen, lactate, and pyruvate extraction ratios (ExO2, ExT, and Exn), and arterial lactate pyruvate ratios (L/P) were measured as follows: in five patients in noncoronary shock after mitral and aortic valve replacement; in eight patients in coronary shock after acute myocardial infarction; and in six patients in mixed shock after hemorrhage and sepsis.
The hemodynamics did not vary significantly between the three groups, except for coronary blood flow.
Mueller HS, Gregory JJ, Ayres SM, et al. Hemodynamics, Myocardial Metabolism, and Therapeutical Response in Cardiogenic Noncoronary (NCS), Coronary (CS), and Mixed Shock (MS).. Ann Intern Med. 1969;70:1079. doi: https://doi.org/10.7326/0003-4819-70-5-1079_2
Download citation file:
Published: Ann Intern Med. 1969;70(5):1079.
Results provided by:
Copyright © 2020 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use