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Cardiogenic Shock Case Study

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Mr. RG has a long history with two myocardial infarction. This 68-year-old man is admitted to the Intensive Care Unit (ICU) after undergoing coronary artery bypass grafting. He also has a history on hypertension and hypercholesterolaemia. After one hour, his blood pressure and urine output decrease. There is no sign of ischaemia(restriction in blood supply to tissues causing shortage of oxygen and glucose needed for cellular metabolism) shown by his ECG. However, his haemodynamic profiling show that he is experiencing tachycardia with pulse rate 105 beat per minute. He was given dopamine to increase his blood pressure to normal level. The clinician however switch dopamine to dobutamine after second dose due to Mr. RG history with myocardial infarction. …show more content…
Cardiogenic shock is often cause by myocardial infarction or commonly known as heart disease. During myocardial infarction, the arteries supplying the heart is blocked or restricted the flow of heart which will lead to cardiogenic shock. There are few more conditions that may cause cardiogenic shock for examples pulmonary embolism (a blockage in one of the pulmonary arteries in lungs), pericardial temponade (pressure on the heart that occurs when blood or fluids builds up in the space between the heart muscle and the outer covering sac of the heart), valve damaged, rupture of the wall of the heart, ventricular fibrillation and also tachycardia. If it is not treated quickly, it may cause

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