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The patient was transported to the CCU for further medical optimization where a pulmonary artery catheter was placed. Authors' commentary: Cardiogenicshock in the setting of severe aortic stenosis. Fundamentally, cardiogenicshock is an issue of decreased cardiac output.
It did not show pulmonary embolism or intra-abdominal pathology, but it did show this: See the dark area at the bottom of the image? Assessment : Cardiology thought this was cardiogenicshock from RV dysfunction. Smith Comment: the RV was very ischemic on the CT scan and dysfunctional on echo, and this does explain the shock.
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Cardiogenic Shock 
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