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Cardiogenic Shock Treated with Infusion of Dextrose Solution
Author(s) -
Nixon P. G. F.
Publication year - 1968
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/j.1399-6576.1968.tb00738.x
Subject(s) - medicine , cardiogenic shock , venous return curve , shock (circulatory) , central venous pressure , anesthesia , anuria , myocardial infarction , heart failure , cardiology , blood pressure , pallor , hemodynamics , heart rate
SUMMARY Cardiogenic shock is defined as a syndrome of pallor, hypotension, restlessness and disturbance of consciousness, intense peripheral vasoconstriction, metabolic acidosis and anuria, with or without elevation of the central venous pressure occurring in acute myocardial infarction. Treatment with 5 % dextrose infusion is described. It is suggested that the elevation of the venous pressure arises from venous constriction rather than from “congestive heart failure” in cases where the circulation improves when the venous pressure is further elevated by infusion. It is suggested that the syndrome may be caused by a deficiency of the blood volume in relation to the suddenly acquired need for distension of the acutely injured heart.