Table 1 Cardiogenic shock criteria

Hemodynamic criteria

   Systolic blood pressure (SBP) of less than 90 mm Hg for greater than 30 minutes

   SBP drop of greater than 30 mm Hg below basal for greater than 30 minutes in patients with hypertension

   Use of vasopressors and inotropes to keep SBP greater than 90 mm Hg

   Cardiac index of less than 2.2 L/min per m²

   Pulmonary artery occlusion pressure of greater than 15 mm Hg

Signs of tissue hypoperfusion

   Pale, cool, and clammy peripheries

   Prolonged capillary refill times

   Altered mental status/confusion

   Oliguria

   Pulmonary congestion

   Tachycardia

   Elevated lactate

   Mixed venous saturation of less than 65%