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Warning-sign checks

Cardiogenic shock: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services for chest pressure, severe breathing difficulty, fainting, sudden confusion, blue or gray lips, or cold and sweaty skin with profound weakness.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek prompt medical advice for rapidly worsening swelling, repeated dizziness, new palpitations, or breathlessness that is getting worse.

  3. 3

    Does any of this apply?

    Book an appointment

    After hospital discharge, follow-up usually focuses on the cause of the shock, recovery of heart function, and effects on other organs.

    Visits may include a review of symptoms, blood pressure, heart rhythm, kidney function, and all medicines.

    An echocardiogram may be repeated to see whether pumping strength has improved.

    At routine appointments, report increasing fatigue, swelling, reduced exercise tolerance, dizziness, or a gradual rise in breathlessness.

    Ask how to monitor weight, blood pressure, pulse, or fluid intake if these measures are part of the discharge plan.

The article also says

Do not restart, stop, or change heart medicines without speaking with the treating clinician.

The appropriate medicines depend on blood pressure, kidney function, heart rhythm, and the underlying diagnosis.

A medication list should include prescriptions, over-the-counter products, vitamins, and supplements.

Cardiac rehabilitation may be recommended after a heart attack, PCI, bypass surgery, or another qualifying heart condition.

It combines supervised activity, education, and support for reducing future cardiovascular risk.

Recovery may be gradual, especially after a long intensive care stay.

Every sign above is quoted from the sofidex article on Cardiogenic shock. If you are not sure, err upward — it is always reasonable to be checked.