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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Cardiogenic Shock?

My father died from cardiogenic shock in July. I was wondering could there have been something I couldve done to prevent this? I am living with a lot of guilt bec I went to nursing school and never saw this coming. His ejection fraction was only 15 %
Thu, 23 Apr 2015
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General & Family Physician 's  Response
Hi welcome to HCM.
I understand your query and concern.
Your father symptoms are suggestive of Congestive cardiac failure leading to pulmonary edema and cardiogenic shock thereby death.Congestive heart failure has poor prognosis in all cases if the ejection fraction is under 30%.If he would have got urgent hospitalisation he would have recovered.Its always advisable to keep the blood pressure under 130/80 mm of hg.I advise my patients to have a baseline 2 dimensional echocardiography,ECG,Hs CRP and lipid profile to assess the basic cardiac reserve of your heart to avoid these complications.Restrict the intake of salt to less than 6gm/day.Drugs like Frusemide and Digioxin will help to improve the congestive symptoms and would have increased his life span.Semiannual follow ups are advisable on maintenance for people who have crossed 40's is helpful. Once the above measures are carried out,good survival can be expected.
Consult a Cardiologist for further expert management.
Post your further queries if any.
Thank you.
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What Is The Treatment For Cardiogenic Shock?

Hi welcome to HCM. I understand your query and concern. Your father symptoms are suggestive of Congestive cardiac failure leading to pulmonary edema and cardiogenic shock thereby death.Congestive heart failure has poor prognosis in all cases if the ejection fraction is under 30%.If he would have got urgent hospitalisation he would have recovered.Its always advisable to keep the blood pressure under 130/80 mm of hg.I advise my patients to have a baseline 2 dimensional echocardiography,ECG,Hs CRP and lipid profile to assess the basic cardiac reserve of your heart to avoid these complications.Restrict the intake of salt to less than 6gm/day.Drugs like Frusemide and Digioxin will help to improve the congestive symptoms and would have increased his life span.Semiannual follow ups are advisable on maintenance for people who have crossed 40 s is helpful. Once the above measures are carried out,good survival can be expected. Consult a Cardiologist for further expert management. Post your further queries if any. Thank you.