Mechanisms of Cardiogenic and Obstructive Shock

Type

Mechanism

Cause

Obstructive

Mechanical interference with ventricular filling

Tension pneumothorax, vena cava compression, cardiac tamponade, atrial tumor or clot

Interference with ventricular emptying

Pulmonary embolism

Cardiogenic

Impaired myocardial contractility

Myocardial ischemia or myocardial infarction, myocarditis, medications

Abnormalities of cardiac rhythm

Tachycardia, bradycardia

Cardiac structural disorder

Acute mitral or aortic regurgitation, ruptured interventricular septum, prosthetic valve malfunction

In these topics