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Table 49.4

Echocardiographic Findings in Cardiogenic Shock

CauseIVCLV sizeLV contractionRV sizeRV contraction
LV dysfunction due to ischaemiaNormal or dilatedLargeReduced regionally or globallyNormalNormal (unless associated RV infarction)
Acute major pulmonary embolismDilatedNormal or smallNormal or increasedLargeReduced
Cardiac tamponadeDilatedNormalNormal or increasedNormalDiastolic free wall collapse
RV infarctionDilatedNormal or large if associated LV inferior infarctionNormal or reduced if associated inferior infarctionLargeReduced

IVC, inferior vena cava; LV, left ventricular; RV, right ventricular.